FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagehl7.fhir.uv.xver-r3.r4b.r4
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-09-13T15:53:36.530-04:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ImplementationGuide-hl7.fhir.uv.xver-r3.r4b",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.uv.xver-r3.r4b",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'no-expansions-files' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r3.r4b: ImplementationGuide.definition.extension[17].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('no-expansions-files') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1), and a code is required from this value set  (error message = The System URI could not be determined for the code 'no-expansions-files' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'; The provided code '#no-expansions-files' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1')"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r3.r4b: ImplementationGuide.definition.extension[17].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'no-ig-database' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r3.r4b: ImplementationGuide.definition.extension[18].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('no-ig-database') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1), and a code is required from this value set  (error message = The System URI could not be determined for the code 'no-ig-database' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'; The provided code '#no-ig-database' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1')"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r3.r4b: ImplementationGuide.definition.extension[18].extension[0].value.ofType(string)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'no-expansions-files' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r3.r4b: ImplementationGuide.definition.extension[62].extension[0].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('no-expansions-files') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1), and a code is required from this value set  (error message = The System URI could not be determined for the code 'no-expansions-files' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'; The provided code '#no-expansions-files' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1')"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r3.r4b: ImplementationGuide.definition.extension[62].extension[0].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_INFER_CODESYSTEM"
              }
            ],
            "severity": "error",
            "code": "not-found",
            "details": {
              "text": "The System URI could not be determined for the code 'no-ig-database' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r3.r4b: ImplementationGuide.definition.extension[63].extension[0].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_16"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The value provided ('no-ig-database') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1), and a code is required from this value set  (error message = The System URI could not be determined for the code 'no-ig-database' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1'; The provided code '#no-ig-database' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.7.1')"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r3.r4b: ImplementationGuide.definition.extension[63].extension[0].value.ofType(code)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1144871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r3.r4b: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide is based on FHIR version 4.3.0 but package hl7.terminology.r4#6.5.0 is based on FHIR version 4.0.1. In general, this version mismatch should be avoided - some tools will try to make this work with variable degrees of success, but others will not even try"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r3.r4b: ImplementationGuide.dependsOn[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_CLASH_PACKAGEID"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The canonical URL http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions points to the package hl7.fhir.uv.extensions which is inconsistent with the stated packageId of hl7.fhir.uv.extensions.r4"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r3.r4b: ImplementationGuide.dependsOn[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Account.active",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Account.active",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18441
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Account.active: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Account.active vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Account.active"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Account.active"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Account.balance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Account.balance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Account.balance: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Account.balance vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Account.balance"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Account.balance"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ActivityDefinition.dy.description",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ActivityDefinition.dy.description",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ActivityDefinition.dy.description: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ActivityDefinition.dy.description vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ActivityDefinition.dynamicValue.description"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ActivityDefinition.dy.description"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ActivityDefinition.dy.expression",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ActivityDefinition.dy.expression",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ActivityDefinition.dy.expression: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ActivityDefinition.dy.expression vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ActivityDefinition.dynamicValue.expression"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ActivityDefinition.dy.expression"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ActivityDefinition.dy.language",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ActivityDefinition.dy.language",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17649
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ActivityDefinition.dy.language: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ActivityDefinition.dy.language vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ActivityDefinition.dynamicValue.language"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ActivityDefinition.dy.language"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ActivityDefinition.library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ActivityDefinition.library",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ActivityDefinition.library: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ActivityDefinition.library vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ActivityDefinition.library"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ActivityDefinition.library"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ActivityDefinition.transform",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ActivityDefinition.transform",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18765
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ActivityDefinition.transform: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ActivityDefinition.transform vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ActivityDefinition.transform"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ActivityDefinition.transform"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-AdverseEvent.category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-AdverseEvent.category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-AdverseEvent.category: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-AdverseEvent.category vs http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-AdverseEvent.category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-AdverseEvent.description",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-AdverseEvent.description",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-AdverseEvent.description: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-AdverseEvent.description vs http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.description"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-AdverseEvent.description"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-AdverseEvent.su.causality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-AdverseEvent.su.causality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-AdverseEvent.su.causality: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-AdverseEvent.su.causality vs http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.suspectEntity.causality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-AdverseEvent.su.causality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-AdverseEvent.su.causalityResult",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-AdverseEvent.su.causalityResult",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-AdverseEvent.su.causalityResult: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-AdverseEvent.su.causalityResult vs http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.suspectEntity.causalityResult"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-AdverseEvent.su.causalityResult"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-AdverseEvent.subject",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-AdverseEvent.subject",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-AdverseEvent.subject: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-AdverseEvent.subject vs http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.subject"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-AdverseEvent.subject"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-AdverseEvent.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-AdverseEvent.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-AdverseEvent.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-AdverseEvent.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-AdverseEvent.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-AdverseEvent.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-AllergyIntolerance.clinicalStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-AllergyIntolerance.clinicalStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-AllergyIntolerance.clinicalStatus: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-AllergyIntolerance.clinicalStatus vs http://hl7.org/fhir/3.0/StructureDefinition/extension-AllergyIntolerance.clinicalStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-AllergyIntolerance.clinicalStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-AllergyIntolerance.verificationStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-AllergyIntolerance.verificationStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-AllergyIntolerance.verificationStatus: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-AllergyIntolerance.verificationStatus vs http://hl7.org/fhir/3.0/StructureDefinition/extension-AllergyIntolerance.verificationStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-AllergyIntolerance.verificationStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Appointment.incomingReferral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Appointment.incomingReferral",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Appointment.incomingReferral: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Appointment.incomingReferral vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Appointment.incomingReferral"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Appointment.incomingReferral"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-AuditEvent.en.identifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-AuditEvent.en.identifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-AuditEvent.en.identifier: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-AuditEvent.en.identifier vs http://hl7.org/fhir/3.0/StructureDefinition/extension-AuditEvent.entity.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-AuditEvent.en.identifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-AuditEvent.so.identifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-AuditEvent.so.identifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-AuditEvent.so.identifier: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-AuditEvent.so.identifier vs http://hl7.org/fhir/3.0/StructureDefinition/extension-AuditEvent.source.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-AuditEvent.so.identifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CD.re.code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CD.re.code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CD.re.code: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CD.re.code vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CompartmentDefinition.resource.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CD.re.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.acceptUnknown",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.acceptUnknown",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19303
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.acceptUnknown: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.acceptUnknown vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.acceptUnknown"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.acceptUnknown"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.do.profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.do.profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.do.profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.do.profile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.document.profile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.do.profile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.implementationGuide",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.implementationGuide",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.implementationGuide: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.implementationGuide vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.implementationGuide"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.implementationGuide"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.instantiates",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.instantiates",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.instantiates: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.instantiates vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.instantiates"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.instantiates"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.me.event",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.me.event",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.me.event: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/message-significance-category|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.me.event: StructureDefinition.differential.element[7].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/message-significance-category|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.me.event: StructureDefinition.snapshot.element[12].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.me.event vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.messaging.event"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.me.event"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.me.su.definition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.me.su.definition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.me.su.definition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.me.su.definition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.messaging.supportedMessage.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.me.su.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.profile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.profile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.profile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.re.compartment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.re.compartment",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.re.compartment: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.re.compartment vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.rest.compartment"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.re.compartment"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.re.op.definition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.re.op.definition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.re.op.definition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.re.op.definition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.rest.operation.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.re.op.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.re.re.se.definition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.re.re.se.definition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.re.re.se.definition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.re.re.se.definition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.rest.resource.searchParam.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.re.re.se.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.re.re.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.re.re.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.re.re.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.re.re.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.rest.resource.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.re.re.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CapabilityStatement.re.se.certificate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CapabilityStatement.re.se.certificate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CapabilityStatement.re.se.certificate: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CapabilityStatement.re.se.certificate vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CapabilityStatement.rest.security.certificate"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CapabilityStatement.re.se.certificate"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CarePlan.ac.de.category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CarePlan.ac.de.category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CarePlan.ac.de.category: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CarePlan.ac.de.category vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CarePlan.activity.detail.category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CarePlan.ac.de.category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CarePlan.ac.de.statusReason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CarePlan.ac.de.statusReason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CarePlan.ac.de.statusReason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CarePlan.ac.de.statusReason vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CarePlan.activity.detail.statusReason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CarePlan.ac.de.statusReason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CarePlan.ac.reference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CarePlan.ac.reference",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CarePlan.ac.reference: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CarePlan.ac.reference vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CarePlan.activity.reference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CarePlan.ac.reference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CarePlan.author",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CarePlan.author",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CarePlan.author: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CarePlan.author vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CarePlan.author"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CarePlan.author"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CarePlan.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CarePlan.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CarePlan.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CarePlan.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CarePlan.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CarePlan.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CareTeam.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CareTeam.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CareTeam.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CareTeam.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CareTeam.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CareTeam.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ChargeItem.priceOverride",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ChargeItem.priceOverride",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ChargeItem.priceOverride: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ChargeItem.priceOverride vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ChargeItem.priceOverride"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ChargeItem.priceOverride"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.ac.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.ac.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17627
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-ActIncidentCode|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.ac.type: StructureDefinition.snapshot.element[4].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-ActIncidentCode|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.ac.type: StructureDefinition.differential.element[2].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.ac.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.ac.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.accident.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.ac.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.employmentImpacted",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.employmentImpacted",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.employmentImpacted: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.employmentImpacted vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.employmentImpacted"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.employmentImpacted"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.hospitalization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.hospitalization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.hospitalization: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.hospitalization vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.hospitalization"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.hospitalization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.it.de.net",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.it.de.net",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.it.de.net: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.it.de.net vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.item.detail.net"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.it.de.net"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.it.de.su.net",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.it.de.su.net",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.it.de.su.net: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.it.de.su.net vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.item.detail.subDetail.net"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.it.de.su.net"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.it.de.su.unitPrice",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.it.de.su.unitPrice",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.it.de.su.unitPrice: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.it.de.su.unitPrice vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.item.detail.subDetail.unitPrice"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.it.de.su.unitPrice"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.it.de.unitPrice",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.it.de.unitPrice",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.it.de.unitPrice: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.it.de.unitPrice vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.item.detail.unitPrice"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.it.de.unitPrice"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.it.net",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.it.net",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.it.net: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.it.net vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.item.net"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.it.net"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.it.unitPrice",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.it.unitPrice",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.it.unitPrice: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.it.unitPrice vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.item.unitPrice"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.it.unitPrice"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.organization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.organization: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.organization vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.organization"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.organization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.pa.resourceType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.pa.resourceType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.pa.resourceType: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.pa.resourceType vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.payee.resourceType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.pa.resourceType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.referral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.referral",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.referral: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.referral vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.referral"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.referral"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.subType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.subType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.subType: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.subType vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.subType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.subType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.total",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.total",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.total: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.total vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.total"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.total"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Claim.use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Claim.use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Claim.use: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Claim.use vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim.use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Claim.use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.ad.category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.ad.category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.ad.category: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.ad.category vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.addItem.category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.ad.category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.ad.de.category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.ad.de.category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.ad.de.category: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.ad.de.category vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.addItem.detail.category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.ad.de.category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.ad.de.fee",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.ad.de.fee",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.ad.de.fee: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.ad.de.fee vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.addItem.detail.fee"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.ad.de.fee"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.ad.de.revenue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.ad.de.revenue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.ad.de.revenue: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.ad.de.revenue vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.addItem.detail.revenue"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.ad.de.revenue"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.ad.fee",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.ad.fee",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.ad.fee: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.ad.fee vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.addItem.fee"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.ad.fee"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.ad.revenue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.ad.revenue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.ad.revenue: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.ad.revenue vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.addItem.revenue"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.ad.revenue"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.in.preAuthRef",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.in.preAuthRef",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.in.preAuthRef: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.in.preAuthRef vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.insurance.preAuthRef"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.in.preAuthRef"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.it.ad.amount",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.it.ad.amount",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.it.ad.amount: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.it.ad.amount vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.item.adjudication.amount"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.it.ad.amount"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.pa.adjustment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.pa.adjustment",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.pa.adjustment: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.pa.adjustment vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.payment.adjustment"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.pa.adjustment"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.pa.amount",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.pa.amount",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.pa.amount: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.pa.amount vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.payment.amount"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.pa.amount"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.pr.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.pr.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.pr.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.pr.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.processNote.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.pr.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.reserved",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.reserved",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.reserved: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.reserved vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.reserved"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.reserved"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.totalBenefit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.totalBenefit",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.totalBenefit: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.totalBenefit vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.totalBenefit"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.totalBenefit"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.totalCost",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.totalCost",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.totalCost: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.totalCost vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.totalCost"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.totalCost"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClaimResponse.unallocDeductable",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClaimResponse.unallocDeductable",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClaimResponse.unallocDeductable: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClaimResponse.unallocDeductable vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClaimResponse.unallocDeductable"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClaimResponse.unallocDeductable"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClinicalImpression.action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClinicalImpression.action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClinicalImpression.action: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClinicalImpression.action vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClinicalImpression.action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClinicalImpression.action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClinicalImpression.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClinicalImpression.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClinicalImpression.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClinicalImpression.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClinicalImpression.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClinicalImpression.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ClinicalImpression.fi.item",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ClinicalImpression.fi.item",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ClinicalImpression.fi.item: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ClinicalImpression.fi.item vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ClinicalImpression.finding.item"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ClinicalImpression.fi.item"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CodeSystem.valueSet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CodeSystem.valueSet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CodeSystem.valueSet: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CodeSystem.valueSet vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CodeSystem.valueSet"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Communication.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Communication.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17987
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Communication.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Communication.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Communication.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Communication.topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Communication.topic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Communication.topic: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Communication.topic vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Communication.topic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Communication.topic"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CommunicationRequest.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CommunicationRequest.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CommunicationRequest.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CommunicationRequest.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CommunicationRequest.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CommunicationRequest.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CommunicationRequest.requester",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CommunicationRequest.requester",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CommunicationRequest.requester: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CommunicationRequest.requester vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CommunicationRequest.requester"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CommunicationRequest.requester"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CommunicationRequest.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CommunicationRequest.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CommunicationRequest.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CommunicationRequest.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CommunicationRequest.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CommunicationRequest.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CompartmentDefinition.jurisdiction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CompartmentDefinition.jurisdiction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CompartmentDefinition.jurisdiction: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CompartmentDefinition.jurisdiction vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CompartmentDefinition.jurisdiction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CompartmentDefinition.jurisdiction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-CompartmentDefinition.title",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-CompartmentDefinition.title",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-CompartmentDefinition.title: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-CompartmentDefinition.title vs http://hl7.org/fhir/3.0/StructureDefinition/extension-CompartmentDefinition.title"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-CompartmentDefinition.title"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Composition.at.mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Composition.at.mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Composition.at.mode: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Composition.at.mode vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Composition.attester.mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Composition.at.mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ConceptMap.gr.el.ta.de.system",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ConceptMap.gr.el.ta.de.system",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ConceptMap.gr.el.ta.de.system: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ConceptMap.gr.el.ta.de.system vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ConceptMap.group.element.target.dependsOn.system"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ConceptMap.gr.el.ta.de.system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ConceptMap.gr.un.url",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ConceptMap.gr.un.url",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ConceptMap.gr.un.url: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ConceptMap.gr.un.url vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ConceptMap.group.unmapped.url"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ConceptMap.gr.un.url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ConceptMap.source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ConceptMap.source",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ConceptMap.source: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ConceptMap.source vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ConceptMap.source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ConceptMap.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ConceptMap.target",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ConceptMap.target",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ConceptMap.target: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ConceptMap.target vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ConceptMap.target"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ConceptMap.target"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Condition.abatement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Condition.abatement",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Condition.abatement: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Condition.abatement vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Condition.abatement"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Condition.abatement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Condition.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Condition.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Condition.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Condition.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Condition.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Condition.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Condition.verificationStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Condition.verificationStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Condition.verificationStatus: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Condition.verificationStatus vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Condition.verificationStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Condition.verificationStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Consent.except",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Consent.except",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 200026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Consent.except: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Consent.except vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Consent.except"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Consent.except"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Consent.period",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Consent.period",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Consent.period: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Consent.period vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Consent.period"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Consent.period"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Consent.policyRule",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Consent.policyRule",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Consent.policyRule: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Consent.policyRule vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Consent.policyRule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Consent.policyRule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Consent.source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Consent.source",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Consent.source: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Consent.source vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Consent.source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Consent.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19092
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.action: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.action vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.actionReason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.actionReason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.actionReason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.actionReason vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.actionReason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.actionReason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.agent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.agent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.agent: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.agent vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.agent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.agent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.binding",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.binding",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.binding: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.binding vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.binding"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.binding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.decisionType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.decisionType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-ActConsentDirective|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.decisionType: StructureDefinition.snapshot.element[4].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18987
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-ActConsentDirective|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.decisionType: StructureDefinition.differential.element[2].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18992
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.decisionType: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.decisionType vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.decisionType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.decisionType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.securityLabel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.securityLabel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.securityLabel: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.securityLabel vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.securityLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.securityLabel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.te.action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.te.action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.te.action: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.te.action vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.term.action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.te.action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.te.actionReason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.te.actionReason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.te.actionReason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.te.actionReason vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.term.actionReason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.te.actionReason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.te.agent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.te.agent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42067
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.te.agent: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.te.agent vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.term.agent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.te.agent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.te.securityLabel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.te.securityLabel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.te.securityLabel: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.te.securityLabel vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.term.securityLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.te.securityLabel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.te.topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.te.topic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.te.topic: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.te.topic vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.term.topic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.te.topic"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.te.valuedItem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.te.valuedItem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 117333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.te.valuedItem: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.te.valuedItem vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.term.valuedItem"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.te.valuedItem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.topic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.topic: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.topic vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.topic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.topic"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Contract.valuedItem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Contract.valuedItem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 116749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Contract.valuedItem: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Contract.valuedItem vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Contract.valuedItem"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Contract.valuedItem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.class",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.class",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.class: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.class vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.class"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.class"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.classDisplay",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.classDisplay",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.classDisplay: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.classDisplay vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.classDisplay"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.classDisplay"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.group",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.group",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.group: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.group vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.group"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.group"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.groupDisplay",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.groupDisplay",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.groupDisplay: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.groupDisplay vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.groupDisplay"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.groupDisplay"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.plan",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.plan",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.plan: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.plan vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.plan"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.plan"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.planDisplay",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.planDisplay",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.planDisplay: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.planDisplay vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.planDisplay"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.planDisplay"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.subClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.subClass",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.subClass: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.subClass vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.subClass"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.subClass"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.subClassDisplay",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.subClassDisplay",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17602
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.subClassDisplay: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.subClassDisplay vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.subClassDisplay"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.subClassDisplay"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.subGroup",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.subGroup",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.subGroup: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.subGroup vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.subGroup"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.subGroup"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.subGroupDisplay",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.subGroupDisplay",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.subGroupDisplay: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.subGroupDisplay vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.subGroupDisplay"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.subGroupDisplay"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.subPlan",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.subPlan",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18302
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.subPlan: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.subPlan vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.subPlan"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.subPlan"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.gr.subPlanDisplay",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.gr.subPlanDisplay",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.gr.subPlanDisplay: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.gr.subPlanDisplay vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.grouping.subPlanDisplay"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.gr.subPlanDisplay"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Coverage.sequence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Coverage.sequence",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Coverage.sequence: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Coverage.sequence vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Coverage.sequence"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Coverage.sequence"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DataElement.stringency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DataElement.stringency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DataElement.stringency: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DataElement.stringency vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DataElement.stringency"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DataElement.stringency"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DataRequirement.co.valueCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DataRequirement.co.valueCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DataRequirement.co.valueCode: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DataRequirement.co.valueCode vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DataRequirement.codeFilter.valueCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DataRequirement.co.valueCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DataRequirement.co.valueCodeableConcept",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DataRequirement.co.valueCodeableConcept",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DataRequirement.co.valueCodeableConcept: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DataRequirement.co.valueCodeableConcept vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DataRequirement.codeFilter.valueCodeableConcept"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DataRequirement.co.valueCodeableConcept"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DataRequirement.co.valueSet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DataRequirement.co.valueSet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DataRequirement.co.valueSet: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DataRequirement.co.valueSet vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DataRequirement.codeFilter.valueSet"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DataRequirement.co.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DataRequirement.profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DataRequirement.profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DataRequirement.profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DataRequirement.profile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DataRequirement.profile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DataRequirement.profile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DataRequirement.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DataRequirement.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DataRequirement.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DataRequirement.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DataRequirement.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DataRequirement.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Device.udi.name",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Device.udi.name",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Device.udi.name: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Device.udi.name vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Device.udi.name"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Device.udi.name"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Device.version",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Device.version",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Device.version: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Device.version vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Device.version"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Device.version"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DeviceComponent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DeviceComponent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 170836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DeviceComponent: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DeviceComponent vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DeviceComponent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DeviceComponent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DeviceMetric.parent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DeviceMetric.parent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DeviceMetric.parent: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DeviceMetric.parent vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DeviceMetric.parent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DeviceMetric.parent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DeviceRequest.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DeviceRequest.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DeviceRequest.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DeviceRequest.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DeviceRequest.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DeviceRequest.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DeviceRequest.definition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DeviceRequest.definition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DeviceRequest.definition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DeviceRequest.definition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DeviceRequest.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DeviceRequest.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DeviceRequest.reasonReference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DeviceRequest.reasonReference",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DeviceRequest.reasonReference: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DeviceRequest.reasonReference vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DeviceRequest.reasonReference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DeviceRequest.reasonReference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DeviceRequest.requester",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DeviceRequest.requester",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DeviceRequest.requester: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DeviceRequest.requester vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DeviceRequest.requester"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DeviceRequest.requester"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DeviceRequest.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DeviceRequest.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DeviceRequest.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DeviceRequest.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DeviceRequest.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DeviceRequest.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DeviceUseStatement.whenUsed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DeviceUseStatement.whenUsed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DeviceUseStatement.whenUsed: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DeviceUseStatement.whenUsed vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DeviceUseStatement.whenUsed"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DeviceUseStatement.whenUsed"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DiagnosticReport.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DiagnosticReport.basedOn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DiagnosticReport.basedOn: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DiagnosticReport.basedOn vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DiagnosticReport.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DiagnosticReport.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DiagnosticReport.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DiagnosticReport.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DiagnosticReport.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DiagnosticReport.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DiagnosticReport.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DiagnosticReport.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DiagnosticReport.imagingStudy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DiagnosticReport.imagingStudy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DiagnosticReport.imagingStudy: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DiagnosticReport.imagingStudy vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DiagnosticReport.imagingStudy"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DiagnosticReport.imagingStudy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DiagnosticReport.performer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DiagnosticReport.performer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DiagnosticReport.performer: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DiagnosticReport.performer vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DiagnosticReport.performer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DiagnosticReport.performer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DocumentManifest.content",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DocumentManifest.content",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DocumentManifest.content: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DocumentManifest.content vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DocumentManifest.content"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DocumentManifest.content"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DocumentReference.co.related",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DocumentReference.co.related",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DocumentReference.co.related: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DocumentReference.co.related vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DocumentReference.context.related"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DocumentReference.co.related"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-DocumentReference.created",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-DocumentReference.created",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-DocumentReference.created: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-DocumentReference.created vs http://hl7.org/fhir/3.0/StructureDefinition/extension-DocumentReference.created"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-DocumentReference.created"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ElementDefinition.co.source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ElementDefinition.co.source",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ElementDefinition.co.source: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ElementDefinition.co.source vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ElementDefinition.constraint.source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ElementDefinition.co.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ElementDefinition.defaultValue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ElementDefinition.defaultValue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 159211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ElementDefinition.defaultValue: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ElementDefinition.defaultValue vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ElementDefinition.defaultValue"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ElementDefinition.defaultValue"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ElementDefinition.ex.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ElementDefinition.ex.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 158903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ElementDefinition.ex.value: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ElementDefinition.ex.value vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ElementDefinition.example.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ElementDefinition.ex.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ElementDefinition.fixed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ElementDefinition.fixed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 159335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ElementDefinition.fixed: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ElementDefinition.fixed vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ElementDefinition.fixed"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ElementDefinition.fixed"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ElementDefinition.pattern",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ElementDefinition.pattern",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 159943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ElementDefinition.pattern: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ElementDefinition.pattern vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ElementDefinition.pattern"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ElementDefinition.pattern"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ElementDefinition.ty.profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ElementDefinition.ty.profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ElementDefinition.ty.profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ElementDefinition.ty.profile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ElementDefinition.type.profile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ElementDefinition.ty.profile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ElementDefinition.ty.targetProfile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ElementDefinition.ty.targetProfile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ElementDefinition.ty.targetProfile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ElementDefinition.ty.targetProfile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ElementDefinition.type.targetProfile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ElementDefinition.ty.targetProfile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-EligibilityRequest.benefitCategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-EligibilityRequest.benefitCategory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-EligibilityRequest.benefitCategory: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-EligibilityRequest.benefitCategory vs http://hl7.org/fhir/3.0/StructureDefinition/extension-EligibilityRequest.benefitCategory"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-EligibilityRequest.benefitCategory"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-EligibilityRequest.benefitSubCategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-EligibilityRequest.benefitSubCategory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-EligibilityRequest.benefitSubCategory: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-EligibilityRequest.benefitSubCategory vs http://hl7.org/fhir/3.0/StructureDefinition/extension-EligibilityRequest.benefitSubCategory"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-EligibilityRequest.benefitSubCategory"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-EligibilityResponse.in.be.fi.allowed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-EligibilityResponse.in.be.fi.allowed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-EligibilityResponse.in.be.fi.allowed: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-EligibilityResponse.in.be.fi.allowed vs http://hl7.org/fhir/3.0/StructureDefinition/extension-EligibilityResponse.insurance.benefitBalance.financial.allowed"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-EligibilityResponse.in.be.fi.allowed"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-EligibilityResponse.in.be.fi.used",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-EligibilityResponse.in.be.fi.used",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-EligibilityResponse.in.be.fi.used: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-EligibilityResponse.in.be.fi.used vs http://hl7.org/fhir/3.0/StructureDefinition/extension-EligibilityResponse.insurance.benefitBalance.financial.used"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-EligibilityResponse.in.be.fi.used"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-EligibilityResponse.in.contract",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-EligibilityResponse.in.contract",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17703
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-EligibilityResponse.in.contract: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-EligibilityResponse.in.contract vs http://hl7.org/fhir/3.0/StructureDefinition/extension-EligibilityResponse.insurance.contract"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-EligibilityResponse.in.contract"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-EligibilityResponse.request",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-EligibilityResponse.request",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-EligibilityResponse.request: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-EligibilityResponse.request vs http://hl7.org/fhir/3.0/StructureDefinition/extension-EligibilityResponse.request"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-EligibilityResponse.request"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Encounter.incomingReferral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Encounter.incomingReferral",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Encounter.incomingReferral: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Encounter.incomingReferral vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Encounter.incomingReferral"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Encounter.incomingReferral"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-EpisodeOfCare.referralRequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-EpisodeOfCare.referralRequest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-EpisodeOfCare.referralRequest: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-EpisodeOfCare.referralRequest vs http://hl7.org/fhir/3.0/StructureDefinition/extension-EpisodeOfCare.referralRequest"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-EpisodeOfCare.referralRequest"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.activeOnly",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.activeOnly",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17894
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.activeOnly: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.activeOnly vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.activeOnly"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.activeOnly"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.contact",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.contact",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.contact: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.contact vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.contact"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.contact"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.contained",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.contained",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 139351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.contained: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.contained vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.contained"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.contained"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.date",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.date",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.date: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.date vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.date"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.date"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.description",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.description",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17984
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.description: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.description vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.description"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.description"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.designation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.designation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 124872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.designation: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.designation vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.designation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.designation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.displayLanguage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.displayLanguage",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.displayLanguage: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.displayLanguage vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.displayLanguage"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.displayLanguage"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.excludeNested",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.excludeNested",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.excludeNested: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.excludeNested vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.excludeNested"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.excludeNested"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.excludeNotForUI",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.excludeNotForUI",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.excludeNotForUI: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.excludeNotForUI vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.excludeNotForUI"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.excludeNotForUI"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.excludePostCoordinated",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.excludePostCoordinated",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.excludePostCoordinated: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.excludePostCoordinated vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.excludePostCoordinated"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.excludePostCoordinated"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.excludedSystem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.excludedSystem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.excludedSystem: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.excludedSystem vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.excludedSystem"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.excludedSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.experimental",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.experimental",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.experimental: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.experimental vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.experimental"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.experimental"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.fixedVersion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.fixedVersion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.fixedVersion: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.fixedVersion vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.fixedVersion"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.fixedVersion"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.identifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.identifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.identifier: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.identifier vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.identifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.includeDefinition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.includeDefinition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18070
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.includeDefinition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.includeDefinition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.includeDefinition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.includeDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.includeDesignations",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.includeDesignations",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.includeDesignations: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.includeDesignations vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.includeDesignations"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.includeDesignations"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.jurisdiction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.jurisdiction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.jurisdiction: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.jurisdiction vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.jurisdiction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.jurisdiction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.limitedExpansion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.limitedExpansion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.limitedExpansion: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.limitedExpansion vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.limitedExpansion"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.limitedExpansion"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.name",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.name",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.name: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.name vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.name"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.name"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.publisher",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.publisher",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17834
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.publisher: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.publisher vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.publisher"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.publisher"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.text",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.text",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.text: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.text vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.text"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.text"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.url",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.url",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19987
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.url: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.url vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.url"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.useContext",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.useContext",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.useContext: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.useContext vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.useContext"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.useContext"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExpansionProfile.version",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExpansionProfile.version",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExpansionProfile.version: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExpansionProfile.version vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExpansionProfile.version"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExpansionProfile.version"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.ac.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.ac.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-ActIncidentCode|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.ac.type: StructureDefinition.snapshot.element[4].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-ActIncidentCode|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.ac.type: StructureDefinition.differential.element[2].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.ac.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.ac.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.accident.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.ac.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.ad.category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.ad.category: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.ad.category vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.de.category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.ad.de.category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.ad.de.category: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.ad.de.category vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.de.category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.de.fee",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.ad.de.fee",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.ad.de.fee: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.ad.de.fee vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.fee"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.de.fee"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.de.revenue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.ad.de.revenue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19146
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.ad.de.revenue: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.ad.de.revenue vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.revenue"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.de.revenue"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.fee",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.ad.fee",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.ad.fee: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.ad.fee vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.fee"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.fee"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.revenue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.ad.revenue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.ad.revenue: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.ad.revenue vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.revenue"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.ad.revenue"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.be.fi.allowed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.be.fi.allowed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.be.fi.allowed: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.be.fi.allowed vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.benefitBalance.financial.allowed"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.be.fi.allowed"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.be.fi.used",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.be.fi.used",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.be.fi.used: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.be.fi.used vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.benefitBalance.financial.used"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.be.fi.used"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.be.subCategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.be.subCategory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.be.subCategory: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.be.subCategory vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.benefitBalance.subCategory"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.be.subCategory"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.employmentImpacted",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.employmentImpacted",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.employmentImpacted: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.employmentImpacted vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.employmentImpacted"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.employmentImpacted"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.hospitalization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.hospitalization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.hospitalization: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.hospitalization vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.hospitalization"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.hospitalization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.it.ad.amount",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.it.ad.amount",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.it.ad.amount: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.it.ad.amount vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.item.adjudication.amount"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.it.ad.amount"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.net",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.net",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.net: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.net vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.net"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.net"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.su.net",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.su.net",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.su.net: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.su.net vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.subDetail.net"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.su.net"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.su.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.su.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18777
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.su.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.su.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.subDetail.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.su.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.su.unitPrice",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.su.unitPrice",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.su.unitPrice: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.su.unitPrice vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.subDetail.unitPrice"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.su.unitPrice"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.unitPrice",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.unitPrice",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.unitPrice: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.it.de.unitPrice vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.item.detail.unitPrice"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.it.de.unitPrice"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.it.net",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.it.net",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.it.net: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.it.net vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.item.net"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.it.net"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.it.unitPrice",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.it.unitPrice",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.it.unitPrice: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.it.unitPrice vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.item.unitPrice"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.it.unitPrice"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.pa.adjustment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.pa.adjustment",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18614
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.pa.adjustment: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.pa.adjustment vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.payment.adjustment"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.pa.adjustment"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.pa.amount",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.pa.amount",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18070
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.pa.amount: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.pa.amount vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.payment.amount"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.pa.amount"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.pa.resourceType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.pa.resourceType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.pa.resourceType: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.pa.resourceType vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.payee.resourceType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.pa.resourceType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.pr.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.pr.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.pr.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.pr.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.processNote.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.pr.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.referral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.referral",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.referral: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.referral vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.referral"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.referral"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.subType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.subType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.subType: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.subType vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.subType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.subType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.totalBenefit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.totalBenefit",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.totalBenefit: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.totalBenefit vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.totalBenefit"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.totalBenefit"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.totalCost",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.totalCost",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.totalCost: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.totalCost vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.totalCost"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.totalCost"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ExplanationOfBenefit.unallocDeductable",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ExplanationOfBenefit.unallocDeductable",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17881
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ExplanationOfBenefit.unallocDeductable: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ExplanationOfBenefit.unallocDeductable vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.unallocDeductable"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ExplanationOfBenefit.unallocDeductable"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Extension.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Extension.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 157739
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Extension.value: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Extension.value vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Extension.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Extension.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-FamilyMemberHistory.gender",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-FamilyMemberHistory.gender",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-FamilyMemberHistory.gender: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-FamilyMemberHistory.gender vs http://hl7.org/fhir/3.0/StructureDefinition/extension-FamilyMemberHistory.gender"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-FamilyMemberHistory.gender"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Goal.addresses",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Goal.addresses",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Goal.addresses: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Goal.addresses vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Goal.addresses"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Goal.addresses"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Goal.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Goal.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Goal.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Goal.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Goal.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Goal.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-GraphDefinition.li.ta.profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-GraphDefinition.li.ta.profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-GraphDefinition.li.ta.profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-GraphDefinition.li.ta.profile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-GraphDefinition.link.target.profile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-GraphDefinition.li.ta.profile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-GraphDefinition.li.ta.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-GraphDefinition.li.ta.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19715
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-GraphDefinition.li.ta.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-GraphDefinition.li.ta.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-GraphDefinition.link.target.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-GraphDefinition.li.ta.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-GraphDefinition.profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-GraphDefinition.profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-GraphDefinition.profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-GraphDefinition.profile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-GraphDefinition.profile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-GraphDefinition.profile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-GraphDefinition.start",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-GraphDefinition.start",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-GraphDefinition.start: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-GraphDefinition.start vs http://hl7.org/fhir/3.0/StructureDefinition/extension-GraphDefinition.start"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-GraphDefinition.start"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-GuidanceResponse.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-GuidanceResponse.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-GuidanceResponse.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-GuidanceResponse.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-GuidanceResponse.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-GuidanceResponse.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-GuidanceResponse.module",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-GuidanceResponse.module",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-GuidanceResponse.module: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-GuidanceResponse.module vs http://hl7.org/fhir/3.0/StructureDefinition/extension-GuidanceResponse.module"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-GuidanceResponse.module"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-GuidanceResponse.reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-GuidanceResponse.reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-GuidanceResponse.reason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-GuidanceResponse.reason vs http://hl7.org/fhir/3.0/StructureDefinition/extension-GuidanceResponse.reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-GuidanceResponse.reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-GuidanceResponse.requestId",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-GuidanceResponse.requestId",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-GuidanceResponse.requestId: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-GuidanceResponse.requestId vs http://hl7.org/fhir/3.0/StructureDefinition/extension-GuidanceResponse.requestId"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-GuidanceResponse.requestId"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-HealthcareService.programName",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-HealthcareService.programName",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-HealthcareService.programName: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-HealthcareService.programName vs http://hl7.org/fhir/3.0/StructureDefinition/extension-HealthcareService.programName"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-HealthcareService.programName"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-IR.re.pr.authority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-IR.re.pr.authority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-IR.re.pr.authority: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-IR.re.pr.authority vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImmunizationRecommendation.recommendation.protocol.authority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-IR.re.pr.authority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-IR.re.pr.doseSequence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-IR.re.pr.doseSequence",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-IR.re.pr.doseSequence: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-IR.re.pr.doseSequence vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImmunizationRecommendation.recommendation.protocol.doseSequence"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-IR.re.pr.doseSequence"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-IR.re.sIR",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-IR.re.sIR",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-IR.re.sIR: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-IR.re.sIR vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImmunizationRecommendation.recommendation.supportingPatientInformation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-IR.re.sIR"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImagingManifest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImagingManifest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImagingManifest: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImagingManifest vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImagingManifest"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImagingManifest"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImagingStudy.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImagingStudy.basedOn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImagingStudy.basedOn: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImagingStudy.basedOn vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImagingStudy.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImagingStudy.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImagingStudy.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImagingStudy.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImagingStudy.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImagingStudy.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImagingStudy.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImagingStudy.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImagingStudy.procedureReference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImagingStudy.procedureReference",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImagingStudy.procedureReference: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImagingStudy.procedureReference vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImagingStudy.procedureReference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImagingStudy.procedureReference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImagingStudy.se.availability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImagingStudy.se.availability",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImagingStudy.se.availability: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImagingStudy.se.availability vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImagingStudy.series.availability"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImagingStudy.se.availability"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImagingStudy.se.in.sopClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImagingStudy.se.in.sopClass",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImagingStudy.se.in.sopClass: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImagingStudy.se.in.sopClass vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImagingStudy.series.instance.sopClass"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImagingStudy.se.in.sopClass"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImagingStudy.se.performer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImagingStudy.se.performer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImagingStudy.se.performer: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImagingStudy.se.performer vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImagingStudy.series.performer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImagingStudy.se.performer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImagingStudy.uid",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImagingStudy.uid",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImagingStudy.uid: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImagingStudy.uid vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImagingStudy.uid"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImagingStudy.uid"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Immunization.explanation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Immunization.explanation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Immunization.explanation: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Immunization.explanation vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.explanation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Immunization.explanation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Immunization.notGiven",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Immunization.notGiven",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Immunization.notGiven: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Immunization.notGiven vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.notGiven"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Immunization.notGiven"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Immunization.va.description",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Immunization.va.description",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Immunization.va.description: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Immunization.va.description vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.vaccinationProtocol.description"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Immunization.va.description"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Immunization.va.doseStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Immunization.va.doseStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19220
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Immunization.va.doseStatus: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Immunization.va.doseStatus vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.vaccinationProtocol.doseStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Immunization.va.doseStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Immunization.va.doseStatusReason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Immunization.va.doseStatusReason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Immunization.va.doseStatusReason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Immunization.va.doseStatusReason vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Immunization.vaccinationProtocol.doseStatusReason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Immunization.va.doseStatusReason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.de.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.de.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.de.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.de.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.dependency.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.de.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.de.uri",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.de.uri",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.de.uri: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.de.uri vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.dependency.uri"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.de.uri"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.gl.profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.gl.profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.gl.profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.gl.profile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.global.profile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.gl.profile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.gl.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.gl.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.gl.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.gl.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.global.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.gl.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.pa.format",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.pa.format",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18594
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.pa.format: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.pa.format vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.page.format"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.pa.format"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.pa.kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.pa.kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19591
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.pa.kind: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.pa.kind vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.page.kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.pa.kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.pa.package",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.pa.package",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17880
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.pa.package: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.pa.package vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.page.package"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.pa.package"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.pa.page",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.pa.page",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.pa.page: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.pa.page vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.page.page"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.pa.page"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.pa.re.acronym",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.pa.re.acronym",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.pa.re.acronym: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.pa.re.acronym vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.package.resource.acronym"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.pa.re.acronym"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.pa.re.exampleFor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.pa.re.exampleFor",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.pa.re.exampleFor: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.pa.re.exampleFor vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.package.resource.exampleFor"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.pa.re.exampleFor"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.pa.re.source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.pa.re.source",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.pa.re.source: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.pa.re.source vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.package.resource.source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.pa.re.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ImplementationGuide.pa.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ImplementationGuide.pa.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ImplementationGuide.pa.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ImplementationGuide.pa.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ImplementationGuide.page.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ImplementationGuide.pa.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Linkage.it.resource",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Linkage.it.resource",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Linkage.it.resource: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Linkage.it.resource vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Linkage.item.resource"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Linkage.it.resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MA.pe.onBehalfOf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MA.pe.onBehalfOf",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MA.pe.onBehalfOf: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MA.pe.onBehalfOf vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationAdministration.performer.onBehalfOf"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MA.pe.onBehalfOf"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Measure.gr.name",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Measure.gr.name",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Measure.gr.name: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Measure.gr.name vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.name"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Measure.gr.name"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Measure.gr.po.criteria",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Measure.gr.po.criteria",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Measure.gr.po.criteria: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Measure.gr.po.criteria vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.population.criteria"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Measure.gr.po.criteria"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Measure.gr.po.identifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Measure.gr.po.identifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Measure.gr.po.identifier: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Measure.gr.po.identifier vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.population.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Measure.gr.po.identifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Measure.gr.po.name",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Measure.gr.po.name",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Measure.gr.po.name: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Measure.gr.po.name vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.population.name"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Measure.gr.po.name"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Measure.gr.st.criteria",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Measure.gr.st.criteria",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Measure.gr.st.criteria: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Measure.gr.st.criteria vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.stratifier.criteria"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Measure.gr.st.criteria"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Measure.gr.st.path",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Measure.gr.st.path",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Measure.gr.st.path: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Measure.gr.st.path vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.stratifier.path"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Measure.gr.st.path"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Measure.library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Measure.library",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Measure.library: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Measure.library vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.library"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Measure.library"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Measure.set",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Measure.set",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Measure.set: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Measure.set vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.set"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Measure.set"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Measure.su.criteria",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Measure.su.criteria",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Measure.su.criteria: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Measure.su.criteria vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.supplementalData.criteria"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Measure.su.criteria"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Measure.su.path",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Measure.su.path",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Measure.su.path: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Measure.su.path vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.supplementalData.path"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Measure.su.path"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MeasureReport.evaluatedResources",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MeasureReport.evaluatedResources",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MeasureReport.evaluatedResources: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MeasureReport.evaluatedResources vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MeasureReport.evaluatedResources"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MeasureReport.evaluatedResources"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MeasureReport.gr.measureScore",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MeasureReport.gr.measureScore",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18876
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MeasureReport.gr.measureScore: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MeasureReport.gr.measureScore vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MeasureReport.group.measureScore"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MeasureReport.gr.measureScore"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MeasureReport.gr.po.identifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MeasureReport.gr.po.identifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MeasureReport.gr.po.identifier: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MeasureReport.gr.po.identifier vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MeasureReport.group.population.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MeasureReport.gr.po.identifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MeasureReport.gr.st.st.measureScore",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MeasureReport.gr.st.st.measureScore",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MeasureReport.gr.st.st.measureScore: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MeasureReport.gr.st.st.measureScore vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.measureScore"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MeasureReport.gr.st.st.measureScore"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MeasureReport.gr.st.st.po.identifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MeasureReport.gr.st.st.po.identifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MeasureReport.gr.st.st.po.identifier: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MeasureReport.gr.st.st.po.identifier vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MeasureReport.gr.st.st.po.identifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MeasureReport.gr.st.st.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MeasureReport.gr.st.st.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MeasureReport.gr.st.st.value: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MeasureReport.gr.st.st.value vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MeasureReport.gr.st.st.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MeasureReport.measure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MeasureReport.measure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MeasureReport.measure: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MeasureReport.measure vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MeasureReport.measure"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MeasureReport.measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Media.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Media.basedOn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Media.basedOn: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Media.basedOn vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Media.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Media.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Media.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Media.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Media.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Media.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Media.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Media.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Media.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Media.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Media.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/media-type|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R3-Media.type: StructureDefinition.differential.element[2].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/media-type|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R3-Media.type: StructureDefinition.snapshot.element[4].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Media.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Media.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Media.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Medication.image",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Medication.image",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Medication.image: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Medication.image vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Medication.image"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Medication.image"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Medication.isBrand",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Medication.isBrand",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Medication.isBrand: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Medication.isBrand vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Medication.isBrand"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Medication.isBrand"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Medication.isOverTheCounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Medication.isOverTheCounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Medication.isOverTheCounter: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Medication.isOverTheCounter vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Medication.isOverTheCounter"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Medication.isOverTheCounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Medication.package",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Medication.package",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Medication.package: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Medication.package vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Medication.package"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Medication.package"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MedicationAdministration.notGiven",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MedicationAdministration.notGiven",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18295
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MedicationAdministration.notGiven: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MedicationAdministration.notGiven vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationAdministration.notGiven"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MedicationAdministration.notGiven"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MedicationAdministration.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MedicationAdministration.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MedicationAdministration.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MedicationAdministration.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationAdministration.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MedicationAdministration.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MedicationDispense.notDone",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MedicationDispense.notDone",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MedicationDispense.notDone: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MedicationDispense.notDone vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.notDone"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MedicationDispense.notDone"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MedicationDispense.pe.onBehalfOf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MedicationDispense.pe.onBehalfOf",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MedicationDispense.pe.onBehalfOf: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MedicationDispense.pe.onBehalfOf vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.performer.onBehalfOf"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MedicationDispense.pe.onBehalfOf"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MedicationDispense.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MedicationDispense.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19476
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MedicationDispense.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MedicationDispense.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationDispense.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MedicationDispense.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MedicationRequest.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MedicationRequest.basedOn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MedicationRequest.basedOn: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MedicationRequest.basedOn vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MedicationRequest.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MedicationRequest.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MedicationRequest.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MedicationRequest.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MedicationRequest.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MedicationRequest.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MedicationRequest.requester",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MedicationRequest.requester",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MedicationRequest.requester: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MedicationRequest.requester vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationRequest.requester"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MedicationRequest.requester"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MedicationStatement.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MedicationStatement.basedOn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MedicationStatement.basedOn: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MedicationStatement.basedOn vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationStatement.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MedicationStatement.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MedicationStatement.taken",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MedicationStatement.taken",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MedicationStatement.taken: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MedicationStatement.taken vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MedicationStatement.taken"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MedicationStatement.taken"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MessageDefinition.al.message",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MessageDefinition.al.message",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MessageDefinition.al.message: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MessageDefinition.al.message vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MessageDefinition.allowedResponse.message"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MessageDefinition.al.message"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MessageDefinition.base",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MessageDefinition.base",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MessageDefinition.base: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MessageDefinition.base vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MessageDefinition.base"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MessageDefinition.base"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MessageDefinition.fo.code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MessageDefinition.fo.code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MessageDefinition.fo.code: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MessageDefinition.fo.code vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MessageDefinition.focus.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MessageDefinition.fo.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MessageDefinition.fo.profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MessageDefinition.fo.profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MessageDefinition.fo.profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MessageDefinition.fo.profile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MessageDefinition.focus.profile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MessageDefinition.fo.profile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MessageDefinition.parent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MessageDefinition.parent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MessageDefinition.parent: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MessageDefinition.parent vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MessageDefinition.parent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MessageDefinition.parent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MessageDefinition.replaces",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MessageDefinition.replaces",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MessageDefinition.replaces: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MessageDefinition.replaces vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MessageDefinition.replaces"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MessageDefinition.replaces"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-MessageHeader.timestamp",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-MessageHeader.timestamp",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-MessageHeader.timestamp: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-MessageHeader.timestamp vs http://hl7.org/fhir/3.0/StructureDefinition/extension-MessageHeader.timestamp"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-MessageHeader.timestamp"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Meta.profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Meta.profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Meta.profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Meta.profile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Meta.profile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Meta.profile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Money.comparator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Money.comparator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Money.comparator: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Money.comparator vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Money.comparator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Money.comparator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Money.system",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Money.system",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Money.system: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Money.system vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Money.system"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Money.system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-NamingSystem.replacedBy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-NamingSystem.replacedBy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17775
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-NamingSystem.replacedBy: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-NamingSystem.replacedBy vs http://hl7.org/fhir/3.0/StructureDefinition/extension-NamingSystem.replacedBy"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-NamingSystem.replacedBy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-NutritionOrder.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-NutritionOrder.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19565
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-NutritionOrder.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-NutritionOrder.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-NutritionOrder.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-NutritionOrder.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Observation.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Observation.basedOn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Observation.basedOn: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Observation.basedOn vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Observation.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Observation.co.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Observation.co.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Observation.co.value: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Observation.co.value vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.component.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Observation.co.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Observation.comment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Observation.comment",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Observation.comment: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Observation.comment vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.comment"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Observation.comment"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Observation.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Observation.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Observation.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Observation.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Observation.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Observation.related",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Observation.related",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Observation.related: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Observation.related vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.related"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Observation.related"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Observation.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Observation.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Observation.value: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Observation.value vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Observation.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Observation.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-OperationDefinition.base",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-OperationDefinition.base",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-OperationDefinition.base: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-OperationDefinition.base vs http://hl7.org/fhir/3.0/StructureDefinition/extension-OperationDefinition.base"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-OperationDefinition.base"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-OperationDefinition.pa.bi.valueSet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-OperationDefinition.pa.bi.valueSet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-OperationDefinition.pa.bi.valueSet: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-OperationDefinition.pa.bi.valueSet vs http://hl7.org/fhir/3.0/StructureDefinition/extension-OperationDefinition.parameter.binding.valueSet"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-OperationDefinition.pa.bi.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-OperationDefinition.pa.profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-OperationDefinition.pa.profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-OperationDefinition.pa.profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-OperationDefinition.pa.profile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-OperationDefinition.parameter.profile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-OperationDefinition.pa.profile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-OperationDefinition.pa.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-OperationDefinition.pa.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-OperationDefinition.pa.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-OperationDefinition.pa.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-OperationDefinition.parameter.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-OperationDefinition.pa.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-OperationDefinition.resource",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-OperationDefinition.resource",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19565
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-OperationDefinition.resource: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-OperationDefinition.resource vs http://hl7.org/fhir/3.0/StructureDefinition/extension-OperationDefinition.resource"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-OperationDefinition.resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PR.de.amount",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PR.de.amount",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PR.de.amount: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PR.de.amount vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PaymentReconciliation.detail.amount"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PR.de.amount"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PR.pr.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PR.pr.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PR.pr.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PR.pr.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PaymentReconciliation.processNote.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PR.pr.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ParameterDefinition.profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ParameterDefinition.profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ParameterDefinition.profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ParameterDefinition.profile vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ParameterDefinition.profile"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ParameterDefinition.profile"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ParameterDefinition.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ParameterDefinition.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ParameterDefinition.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ParameterDefinition.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ParameterDefinition.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ParameterDefinition.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Parameters.pa.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Parameters.pa.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 156986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Parameters.pa.value: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Parameters.pa.value vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Parameters.parameter.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Parameters.pa.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PaymentReconciliation.request",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PaymentReconciliation.request",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PaymentReconciliation.request: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PaymentReconciliation.request vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PaymentReconciliation.request"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PaymentReconciliation.request"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PaymentReconciliation.total",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PaymentReconciliation.total",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PaymentReconciliation.total: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PaymentReconciliation.total vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PaymentReconciliation.total"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PaymentReconciliation.total"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PlanDefinition.ac.co.description",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PlanDefinition.ac.co.description",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18724
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PlanDefinition.ac.co.description: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PlanDefinition.ac.co.description vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PlanDefinition.action.condition.description"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PlanDefinition.ac.co.description"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PlanDefinition.ac.co.expression",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PlanDefinition.ac.co.expression",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PlanDefinition.ac.co.expression: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PlanDefinition.ac.co.expression vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PlanDefinition.action.condition.expression"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PlanDefinition.ac.co.expression"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PlanDefinition.ac.co.language",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PlanDefinition.ac.co.language",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PlanDefinition.ac.co.language: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PlanDefinition.ac.co.language vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PlanDefinition.action.condition.language"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PlanDefinition.ac.co.language"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PlanDefinition.ac.definition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PlanDefinition.ac.definition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PlanDefinition.ac.definition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PlanDefinition.ac.definition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PlanDefinition.action.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PlanDefinition.ac.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PlanDefinition.ac.dy.description",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PlanDefinition.ac.dy.description",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PlanDefinition.ac.dy.description: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PlanDefinition.ac.dy.description vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PlanDefinition.action.dynamicValue.description"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PlanDefinition.ac.dy.description"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PlanDefinition.ac.dy.expression",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PlanDefinition.ac.dy.expression",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PlanDefinition.ac.dy.expression: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PlanDefinition.ac.dy.expression vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PlanDefinition.action.dynamicValue.expression"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PlanDefinition.ac.dy.expression"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PlanDefinition.ac.dy.language",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PlanDefinition.ac.dy.language",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PlanDefinition.ac.dy.language: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PlanDefinition.ac.dy.language vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PlanDefinition.action.dynamicValue.language"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PlanDefinition.ac.dy.language"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PlanDefinition.ac.transform",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PlanDefinition.ac.transform",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PlanDefinition.ac.transform: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PlanDefinition.ac.transform vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PlanDefinition.action.transform"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PlanDefinition.ac.transform"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PlanDefinition.ac.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PlanDefinition.ac.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PlanDefinition.ac.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PlanDefinition.ac.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PlanDefinition.action.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PlanDefinition.ac.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-PlanDefinition.library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-PlanDefinition.library",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-PlanDefinition.library: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-PlanDefinition.library vs http://hl7.org/fhir/3.0/StructureDefinition/extension-PlanDefinition.library"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-PlanDefinition.library"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Procedure.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Procedure.basedOn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Procedure.basedOn: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Procedure.basedOn vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Procedure.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Procedure.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Procedure.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Procedure.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Procedure.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Procedure.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Procedure.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Procedure.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Procedure.definition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Procedure.definition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Procedure.definition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Procedure.definition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Procedure.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Procedure.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcedureRequest.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcedureRequest.basedOn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcedureRequest.basedOn: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcedureRequest.basedOn vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcedureRequest.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcedureRequest.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcedureRequest.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcedureRequest.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcedureRequest.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcedureRequest.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcedureRequest.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcedureRequest.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcedureRequest.definition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcedureRequest.definition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcedureRequest.definition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcedureRequest.definition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcedureRequest.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcedureRequest.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcedureRequest.replaces",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcedureRequest.replaces",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcedureRequest.replaces: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcedureRequest.replaces vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcedureRequest.replaces"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcedureRequest.replaces"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcedureRequest.requester",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcedureRequest.requester",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcedureRequest.requester: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcedureRequest.requester vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcedureRequest.requester"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcedureRequest.requester"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcedureRequest.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcedureRequest.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcedureRequest.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcedureRequest.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcedureRequest.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcedureRequest.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.action: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.action vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.created",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.created",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.created: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.created vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.created"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.created"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.exclude",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.exclude",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.exclude: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.exclude vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.exclude"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.exclude"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.include",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.include",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.include: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.include vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.include"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.include"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.item",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.item",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.item: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.item vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.item"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.item"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.nullify",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.nullify",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.nullify: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.nullify vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.nullify"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.nullify"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.organization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.organization: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.organization vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.organization"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.organization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.period",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.period",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.period: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.period vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.period"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.period"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.provider",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.provider",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.provider: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.provider vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.provider"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.provider"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.reference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.reference",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.reference: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.reference vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.reference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.reference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.request",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.request",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.request: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.request vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.request"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.request"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.response",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.response",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.response: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.response vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.response"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.response"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/fm-status|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.status: StructureDefinition.differential.element[2].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/fm-status|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.status: StructureDefinition.snapshot.element[4].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessRequest.target",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessRequest.target",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessRequest.target: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessRequest.target vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessRequest.target"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessRequest.target"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.communicationRequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.communicationRequest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18018
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.communicationRequest: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.communicationRequest vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.communicationRequest"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.communicationRequest"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.created",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.created",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.created: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.created vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.created"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.created"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.disposition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.disposition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.disposition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.disposition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.disposition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.disposition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.error",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.error",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.error: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.error vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.error"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.error"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.form",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.form",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.form: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.form vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.form"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.form"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.organization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.organization: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.organization vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.organization"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.organization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.outcome: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.outcome vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.processNote",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.processNote",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.processNote: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.processNote vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.processNote"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.processNote"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.request",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.request",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.request: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.request vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.request"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.request"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.requestOrganization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.requestOrganization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17806
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.requestOrganization: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.requestOrganization vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.requestOrganization"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.requestOrganization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.requestProvider",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.requestProvider",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.requestProvider: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.requestProvider vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.requestProvider"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.requestProvider"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ProcessResponse.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ProcessResponse.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/fm-status|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.status: StructureDefinition.differential.element[2].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/fm-status|4.3.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
              "StructureDefinition/ext-R3-ProcessResponse.status: StructureDefinition.snapshot.element[4].binding"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ProcessResponse.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ProcessResponse.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ProcessResponse.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Provenance.activity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Provenance.activity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Provenance.activity: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Provenance.activity vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Provenance.activity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Provenance.activity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Provenance.ag.onBehalfOf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Provenance.ag.onBehalfOf",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Provenance.ag.onBehalfOf: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Provenance.ag.onBehalfOf vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Provenance.agent.onBehalfOf"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Provenance.ag.onBehalfOf"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Provenance.ag.who",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Provenance.ag.who",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Provenance.ag.who: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Provenance.ag.who vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Provenance.agent.who"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Provenance.ag.who"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Provenance.en.what",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Provenance.en.what",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Provenance.en.what: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Provenance.en.what vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Provenance.entity.what"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Provenance.en.what"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Provenance.reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Provenance.reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Provenance.reason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Provenance.reason vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Provenance.reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Provenance.reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-QR.it.subject",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-QR.it.subject",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-QR.it.subject: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-QR.it.subject vs http://hl7.org/fhir/3.0/StructureDefinition/extension-QuestionnaireResponse.item.subject"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-QR.it.subject"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Questionnaire.it.initial",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Questionnaire.it.initial",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Questionnaire.it.initial: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Questionnaire.it.initial vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Questionnaire.item.initial"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Questionnaire.it.initial"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Questionnaire.it.options",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Questionnaire.it.options",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Questionnaire.it.options: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Questionnaire.it.options vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Questionnaire.item.options"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Questionnaire.it.options"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Questionnaire.subjectType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Questionnaire.subjectType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Questionnaire.subjectType: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Questionnaire.subjectType vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Questionnaire.subjectType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Questionnaire.subjectType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-QuestionnaireResponse.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-QuestionnaireResponse.basedOn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-QuestionnaireResponse.basedOn: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-QuestionnaireResponse.basedOn vs http://hl7.org/fhir/3.0/StructureDefinition/extension-QuestionnaireResponse.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-QuestionnaireResponse.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-QuestionnaireResponse.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-QuestionnaireResponse.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-QuestionnaireResponse.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-QuestionnaireResponse.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-QuestionnaireResponse.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-QuestionnaireResponse.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-QuestionnaireResponse.questionnaire",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-QuestionnaireResponse.questionnaire",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-QuestionnaireResponse.questionnaire: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-QuestionnaireResponse.questionnaire vs http://hl7.org/fhir/3.0/StructureDefinition/extension-QuestionnaireResponse.questionnaire"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-QuestionnaireResponse.questionnaire"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ReferralRequest.basedOn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ReferralRequest.basedOn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ReferralRequest.basedOn: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ReferralRequest.basedOn vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.basedOn"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ReferralRequest.basedOn"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ReferralRequest.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ReferralRequest.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ReferralRequest.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ReferralRequest.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ReferralRequest.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ReferralRequest.definition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ReferralRequest.definition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ReferralRequest.definition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ReferralRequest.definition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ReferralRequest.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ReferralRequest.description",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ReferralRequest.description",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ReferralRequest.description: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ReferralRequest.description vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.description"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ReferralRequest.description"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ReferralRequest.replaces",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ReferralRequest.replaces",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ReferralRequest.replaces: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ReferralRequest.replaces vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.replaces"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ReferralRequest.replaces"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ReferralRequest.requester",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ReferralRequest.requester",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ReferralRequest.requester: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ReferralRequest.requester vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.requester"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ReferralRequest.requester"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ReferralRequest.serviceRequested",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ReferralRequest.serviceRequested",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19775
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ReferralRequest.serviceRequested: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ReferralRequest.serviceRequested vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.serviceRequested"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ReferralRequest.serviceRequested"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ReferralRequest.specialty",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ReferralRequest.specialty",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ReferralRequest.specialty: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ReferralRequest.specialty vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.specialty"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ReferralRequest.specialty"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ReferralRequest.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ReferralRequest.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ReferralRequest.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ReferralRequest.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ReferralRequest.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ReferralRequest.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RelatedArtifact.resource",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RelatedArtifact.resource",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RelatedArtifact.resource: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RelatedArtifact.resource vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RelatedArtifact.resource"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RelatedArtifact.resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RequestGroup.ac.co.description",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RequestGroup.ac.co.description",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RequestGroup.ac.co.description: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RequestGroup.ac.co.description vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RequestGroup.action.condition.description"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RequestGroup.ac.co.description"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RequestGroup.ac.co.expression",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RequestGroup.ac.co.expression",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RequestGroup.ac.co.expression: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RequestGroup.ac.co.expression vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RequestGroup.action.condition.expression"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RequestGroup.ac.co.expression"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RequestGroup.ac.co.language",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RequestGroup.ac.co.language",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RequestGroup.ac.co.language: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RequestGroup.ac.co.language vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RequestGroup.action.condition.language"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RequestGroup.ac.co.language"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RequestGroup.ac.participant",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RequestGroup.ac.participant",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RequestGroup.ac.participant: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RequestGroup.ac.participant vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RequestGroup.action.participant"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RequestGroup.ac.participant"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RequestGroup.ac.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RequestGroup.ac.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RequestGroup.ac.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RequestGroup.ac.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RequestGroup.action.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RequestGroup.ac.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RequestGroup.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RequestGroup.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RequestGroup.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RequestGroup.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RequestGroup.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RequestGroup.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RequestGroup.reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RequestGroup.reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RequestGroup.reason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RequestGroup.reason vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RequestGroup.reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RequestGroup.reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RequestGroup.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RequestGroup.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19641
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RequestGroup.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RequestGroup.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RequestGroup.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RequestGroup.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ResearchStudy.jurisdiction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ResearchStudy.jurisdiction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19941
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ResearchStudy.jurisdiction: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ResearchStudy.jurisdiction vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ResearchStudy.jurisdiction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ResearchStudy.jurisdiction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ResearchSubject.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ResearchSubject.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ResearchSubject.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ResearchSubject.status vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ResearchSubject.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ResearchSubject.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RiskAssessment.comment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RiskAssessment.comment",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RiskAssessment.comment: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RiskAssessment.comment vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RiskAssessment.comment"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RiskAssessment.comment"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RiskAssessment.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RiskAssessment.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RiskAssessment.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RiskAssessment.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RiskAssessment.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RiskAssessment.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-RiskAssessment.reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-RiskAssessment.reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-RiskAssessment.reason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-RiskAssessment.reason vs http://hl7.org/fhir/3.0/StructureDefinition/extension-RiskAssessment.reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-RiskAssessment.reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-SearchParameter.base",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-SearchParameter.base",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-SearchParameter.base: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-SearchParameter.base vs http://hl7.org/fhir/3.0/StructureDefinition/extension-SearchParameter.base"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-SearchParameter.base"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-SearchParameter.co.definition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-SearchParameter.co.definition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-SearchParameter.co.definition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-SearchParameter.co.definition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-SearchParameter.component.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-SearchParameter.co.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-SearchParameter.derivedFrom",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-SearchParameter.derivedFrom",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-SearchParameter.derivedFrom: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-SearchParameter.derivedFrom vs http://hl7.org/fhir/3.0/StructureDefinition/extension-SearchParameter.derivedFrom"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-SearchParameter.derivedFrom"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-SearchParameter.target",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-SearchParameter.target",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-SearchParameter.target: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-SearchParameter.target vs http://hl7.org/fhir/3.0/StructureDefinition/extension-SearchParameter.target"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-SearchParameter.target"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Sequence.pointer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Sequence.pointer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Sequence.pointer: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Sequence.pointer vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Sequence.pointer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Sequence.pointer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Sequence.re.referenceSeqPointer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Sequence.re.referenceSeqPointer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Sequence.re.referenceSeqPointer: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Sequence.re.referenceSeqPointer vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Sequence.referenceSeq.referenceSeqPointer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Sequence.re.referenceSeqPointer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ServiceDefinition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ServiceDefinition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 308755
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ServiceDefinition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ServiceDefinition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ServiceDefinition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ServiceDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Signature.onBehalfOf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Signature.onBehalfOf",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Signature.onBehalfOf: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Signature.onBehalfOf vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Signature.onBehalfOf"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Signature.onBehalfOf"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Signature.who",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Signature.who",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Signature.who: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Signature.who vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Signature.who"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Signature.who"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Specimen.request",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Specimen.request",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Specimen.request: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Specimen.request vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Specimen.request"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Specimen.request"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-StructureDefinition.baseDefinition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-StructureDefinition.baseDefinition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-StructureDefinition.baseDefinition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-StructureDefinition.baseDefinition vs http://hl7.org/fhir/3.0/StructureDefinition/extension-StructureDefinition.baseDefinition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-StructureDefinition.baseDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-StructureDefinition.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-StructureDefinition.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-StructureDefinition.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-StructureDefinition.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-StructureDefinition.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-StructureDefinition.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-StructureDefinition.contextType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-StructureDefinition.contextType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-StructureDefinition.contextType: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-StructureDefinition.contextType vs http://hl7.org/fhir/3.0/StructureDefinition/extension-StructureDefinition.contextType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-StructureDefinition.contextType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-StructureDefinition.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-StructureDefinition.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-StructureDefinition.type: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-StructureDefinition.type vs http://hl7.org/fhir/3.0/StructureDefinition/extension-StructureDefinition.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-StructureDefinition.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-StructureMap.gr.ru.so.defaultValue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-StructureMap.gr.ru.so.defaultValue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 158632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-StructureMap.gr.ru.so.defaultValue: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-StructureMap.gr.ru.so.defaultValue vs http://hl7.org/fhir/3.0/StructureDefinition/extension-StructureMap.group.rule.source.defaultValue"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-StructureMap.gr.ru.so.defaultValue"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-StructureMap.import",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-StructureMap.import",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-StructureMap.import: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-StructureMap.import vs http://hl7.org/fhir/3.0/StructureDefinition/extension-StructureMap.import"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-StructureMap.import"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-StructureMap.st.url",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-StructureMap.st.url",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17958
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-StructureMap.st.url: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-StructureMap.st.url vs http://hl7.org/fhir/3.0/StructureDefinition/extension-StructureMap.structure.url"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-StructureMap.st.url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Subscription.tag",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Subscription.tag",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Subscription.tag: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Subscription.tag vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Subscription.tag"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Subscription.tag"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-SupplyRequest.orderedItem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-SupplyRequest.orderedItem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-SupplyRequest.orderedItem: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-SupplyRequest.orderedItem vs http://hl7.org/fhir/3.0/StructureDefinition/extension-SupplyRequest.orderedItem"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-SupplyRequest.orderedItem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-SupplyRequest.reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-SupplyRequest.reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-SupplyRequest.reason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-SupplyRequest.reason vs http://hl7.org/fhir/3.0/StructureDefinition/extension-SupplyRequest.reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-SupplyRequest.reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-SupplyRequest.requester",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-SupplyRequest.requester",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-SupplyRequest.requester: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-SupplyRequest.requester vs http://hl7.org/fhir/3.0/StructureDefinition/extension-SupplyRequest.requester"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-SupplyRequest.requester"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Task.context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Task.context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Task.context: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Task.context vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Task.context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Task.context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Task.in.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Task.in.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 158426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Task.in.value: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Task.in.value vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Task.input.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Task.in.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Task.ou.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Task.ou.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 158414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Task.ou.value: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Task.ou.value vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Task.output.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Task.ou.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Task.requester",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Task.requester",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Task.requester: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Task.requester vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Task.requester"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Task.requester"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-TestScript.me.ca.capabilities",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-TestScript.me.ca.capabilities",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-TestScript.me.ca.capabilities: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-TestScript.me.ca.capabilities vs http://hl7.org/fhir/3.0/StructureDefinition/extension-TestScript.metadata.capability.capabilities"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-TestScript.me.ca.capabilities"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-TestScript.rule",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-TestScript.rule",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-TestScript.rule: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-TestScript.rule vs http://hl7.org/fhir/3.0/StructureDefinition/extension-TestScript.rule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-TestScript.rule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-TestScript.ruleset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-TestScript.ruleset",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 93308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-TestScript.ruleset: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-TestScript.ruleset vs http://hl7.org/fhir/3.0/StructureDefinition/extension-TestScript.ruleset"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-TestScript.ruleset"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-TestScript.se.ac.as.resource",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-TestScript.se.ac.as.resource",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19700
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-TestScript.se.ac.as.resource: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-TestScript.se.ac.as.resource vs http://hl7.org/fhir/3.0/StructureDefinition/extension-TestScript.setup.action.assert.resource"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-TestScript.se.ac.as.resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-TestScript.se.ac.as.rule",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-TestScript.se.ac.as.rule",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-TestScript.se.ac.as.rule: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-TestScript.se.ac.as.rule vs http://hl7.org/fhir/3.0/StructureDefinition/extension-TestScript.setup.action.assert.rule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-TestScript.se.ac.as.rule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-TestScript.se.ac.as.ruleset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-TestScript.se.ac.as.ruleset",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 93166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-TestScript.se.ac.as.ruleset: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-TestScript.se.ac.as.ruleset vs http://hl7.org/fhir/3.0/StructureDefinition/extension-TestScript.setup.action.assert.ruleset"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-TestScript.se.ac.as.ruleset"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-TestScript.se.ac.op.resource",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-TestScript.se.ac.op.resource",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19746
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-TestScript.se.ac.op.resource: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-TestScript.se.ac.op.resource vs http://hl7.org/fhir/3.0/StructureDefinition/extension-TestScript.setup.action.operation.resource"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-TestScript.se.ac.op.resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Timing.re.count",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Timing.re.count",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Timing.re.count: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Timing.re.count vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Timing.repeat.count"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Timing.re.count"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Timing.re.countMax",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Timing.re.countMax",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Timing.re.countMax: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Timing.re.countMax vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Timing.repeat.countMax"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Timing.re.countMax"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Timing.re.frequency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Timing.re.frequency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Timing.re.frequency: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Timing.re.frequency vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Timing.repeat.frequency"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Timing.re.frequency"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-Timing.re.frequencyMax",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-Timing.re.frequencyMax",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-Timing.re.frequencyMax: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-Timing.re.frequencyMax vs http://hl7.org/fhir/3.0/StructureDefinition/extension-Timing.repeat.frequencyMax"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-Timing.re.frequencyMax"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ValueSet.co.in.valueSet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ValueSet.co.in.valueSet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ValueSet.co.in.valueSet: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ValueSet.co.in.valueSet vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ValueSet.compose.include.valueSet"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ValueSet.co.in.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-ValueSet.extensible",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-ValueSet.extensible",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-ValueSet.extensible: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-ValueSet.extensible vs http://hl7.org/fhir/3.0/StructureDefinition/extension-ValueSet.extensible"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-ValueSet.extensible"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-VisionPrescription.di.prism",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-VisionPrescription.di.prism",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-VisionPrescription.di.prism: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-VisionPrescription.di.prism vs http://hl7.org/fhir/3.0/StructureDefinition/extension-VisionPrescription.dispense.prism"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-VisionPrescription.di.prism"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-ext-R3-VisionPrescription.reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R3-VisionPrescription.reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21016
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R3-VisionPrescription.reason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/ext-R3-VisionPrescription.reason vs http://hl7.org/fhir/3.0/StructureDefinition/extension-VisionPrescription.reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/extensions/StructureDefinition-ext-R3-VisionPrescription.reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-R3-DeviceComponent-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-R3-DeviceComponent-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'DeviceComponent' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R3-DeviceComponent-for-R4B: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'DeviceComponent' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R3-DeviceComponent-for-R4B: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/R3-DeviceComponent-for-R4B: StructureDefinition"
            ]
          },
          {
            "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/4.3/StructureDefinition/R3-DeviceComponent-for-R4B')"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/R3-DeviceComponent-for-R4B vs http://hl7.org/fhir/4.3/StructureDefinition/R3-DeviceComponent-for-R4B"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/profiles/StructureDefinition-R3-DeviceComponent-for-R4B"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-R3-ImagingManifest-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-R3-ImagingManifest-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'ImagingManifest' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R3-ImagingManifest-for-R4B: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'ImagingManifest' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R3-ImagingManifest-for-R4B: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/R3-ImagingManifest-for-R4B: StructureDefinition"
            ]
          },
          {
            "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/4.3/StructureDefinition/R3-ImagingManifest-for-R4B')"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/R3-ImagingManifest-for-R4B vs http://hl7.org/fhir/4.3/StructureDefinition/R3-ImagingManifest-for-R4B"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/profiles/StructureDefinition-R3-ImagingManifest-for-R4B"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/StructureDefinition-R3-ServiceDefinition-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-R3-ServiceDefinition-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'ServiceDefinition' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R3-ServiceDefinition-for-R4B: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'ServiceDefinition' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R3-ServiceDefinition-for-R4B: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/R3-ServiceDefinition-for-R4B: StructureDefinition"
            ]
          },
          {
            "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/4.3/StructureDefinition/R3-ServiceDefinition-for-R4B')"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/StructureDefinition/R3-ServiceDefinition-for-R4B vs http://hl7.org/fhir/4.3/StructureDefinition/R3-ServiceDefinition-for-R4B"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/profiles/StructureDefinition-R3-ServiceDefinition-for-R4B"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-abstract-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-abstract-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/abstract-types: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/abstract-types: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/abstract-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2428
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/abstract-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/abstract-types vs http://hl7.org/fhir/abstract-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-abstract-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-account-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-account-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/account-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1214
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/account-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/account-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2938
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/account-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/account-status vs http://hl7.org/fhir/account-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-account-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-action-cardinality-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-cardinality-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/action-cardinality-behavior: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/action-cardinality-behavior: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-cardinality-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2666
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/action-cardinality-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/action-cardinality-behavior vs http://hl7.org/fhir/action-cardinality-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-action-cardinality-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-action-condition-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-condition-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/action-condition-kind: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1231
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/action-condition-kind: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2954
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-condition-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2954
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/action-condition-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/action-condition-kind vs http://hl7.org/fhir/action-condition-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-action-condition-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-action-grouping-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-grouping-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/action-grouping-behavior: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2104
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/action-grouping-behavior: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4618
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-grouping-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4618
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/action-grouping-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/action-grouping-behavior vs http://hl7.org/fhir/action-grouping-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-action-grouping-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-action-participant-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-participant-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/action-participant-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1265
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/action-participant-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-participant-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2981
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/action-participant-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/action-participant-type vs http://hl7.org/fhir/action-participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-action-participant-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-action-precheck-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-precheck-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/action-precheck-behavior: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1473
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/action-precheck-behavior: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-precheck-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3492
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/action-precheck-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/action-precheck-behavior vs http://hl7.org/fhir/action-precheck-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-action-precheck-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-action-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-relationship-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/action-relationship-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2552
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/action-relationship-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5090
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/action-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/action-relationship-type vs http://hl7.org/fhir/action-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-action-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-action-required-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-required-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/action-required-behavior: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1515
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/action-required-behavior: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-required-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3512
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/action-required-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/action-required-behavior vs http://hl7.org/fhir/action-required-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-action-required-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-action-selection-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-selection-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/action-selection-behavior: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2053
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/action-selection-behavior: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-selection-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4325
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/action-selection-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/action-selection-behavior vs http://hl7.org/fhir/action-selection-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-action-selection-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-action-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/action-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1252
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/action-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/action-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/action-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/action-type)"
            },
            "expression": [
              "CodeSystem/action-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2963
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/action-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/action-type vs http://hl7.org/fhir/action-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-action-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-actionlist",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-actionlist",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1312
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/actionlist: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1283
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/actionlist: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/actionlist'"
            },
            "expression": [
              "CodeSystem/actionlist: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/actionlist: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3040
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/actionlist: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/actionlist vs http://hl7.org/fhir/actionlist"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-actionlist"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-activity-definition-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-activity-definition-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/activity-definition-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1361
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/activity-definition-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/activity-definition-category: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/activity-definition-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/activity-definition-category, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/activity-definition-category)"
            },
            "expression": [
              "CodeSystem/activity-definition-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3148
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/activity-definition-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/activity-definition-category vs http://hl7.org/fhir/activity-definition-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-activity-definition-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-additionalmaterials",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-additionalmaterials",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/additionalmaterials: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1410
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/additionalmaterials: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/additionalmaterials: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3161
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/additionalmaterials: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/additionalmaterials vs http://hl7.org/fhir/additionalmaterials"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-additionalmaterials"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-address-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-address-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/address-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/address-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2756
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/address-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2756
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/address-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/address-type vs http://hl7.org/fhir/address-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-address-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-address-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-address-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/address-use: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1336
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/address-use: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/address-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3121
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/address-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/address-use vs http://hl7.org/fhir/address-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-address-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-adjudication-error",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adjudication-error",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/adjudication-error: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 957
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/adjudication-error: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/adjudication-error: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/adjudication-error has an 'all system' value set of http://hl7.org/fhir/ValueSet/adjudication-error|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/adjudication-error)"
            },
            "expression": [
              "CodeSystem/adjudication-error: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2532
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/adjudication-error: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/adjudication-error vs http://hl7.org/fhir/adjudication-error"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-adjudication-error"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-adjudication-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adjudication-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/adjudication-reason: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 948
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/adjudication-reason: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/adjudication-reason: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/adjudication-reason has an 'all system' value set of http://hl7.org/fhir/ValueSet/adjudication-reason|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/adjudication-reason)"
            },
            "expression": [
              "CodeSystem/adjudication-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2513
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/adjudication-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/adjudication-reason vs http://hl7.org/fhir/adjudication-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-adjudication-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-adjudication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adjudication",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/adjudication: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1702
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/adjudication: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/adjudication: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/adjudication has an 'all system' value set of http://hl7.org/fhir/ValueSet/adjudication|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/adjudication)"
            },
            "expression": [
              "CodeSystem/adjudication: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3846
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/adjudication: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/adjudication vs http://hl7.org/fhir/adjudication"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-adjudication"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-administrative-gender",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-administrative-gender",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/administrative-gender: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/administrative-gender: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2772
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/administrative-gender: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2772
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/administrative-gender: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/administrative-gender vs http://hl7.org/fhir/administrative-gender"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-administrative-gender"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-adverse-event-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/adverse-event-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/adverse-event-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/adverse-event-category: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/adverse-event-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/adverse-event-category|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/adverse-event-category)"
            },
            "expression": [
              "CodeSystem/adverse-event-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2388
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/adverse-event-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2388
              },
              {
                "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/adverse-event-category: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/adverse-event-category vs http://hl7.org/fhir/adverse-event-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-adverse-event-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-adverse-event-causality-assess",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-causality-assess",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-assess: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-assess: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-assess: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/adverse-event-causality-assess has an 'all system' value set of http://hl7.org/fhir/ValueSet/adverse-event-causality-assess|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess)"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-assess: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2447
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-assess: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2447
              },
              {
                "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/adverse-event-causality-assess: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/adverse-event-causality-assess vs http://hl7.org/fhir/adverse-event-causality-assess"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-adverse-event-causality-assess"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-adverse-event-causality-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-causality-method",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-method: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-method: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-method: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/adverse-event-causality-method has an 'all system' value set of http://hl7.org/fhir/ValueSet/adverse-event-causality-method|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/adverse-event-causality-method)"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-method: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2411
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-method: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2411
              },
              {
                "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/adverse-event-causality-method: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/adverse-event-causality-method vs http://hl7.org/fhir/adverse-event-causality-method"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-adverse-event-causality-method"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-adverse-event-causality-result",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-causality-result",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-result: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-result: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/adverse-event-causality-result'"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-result: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-result: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2405
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-result: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2405
              },
              {
                "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/adverse-event-causality-result: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/adverse-event-causality-result vs http://hl7.org/fhir/adverse-event-causality-result"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-adverse-event-causality-result"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-adverse-event-causality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-causality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/adverse-event-causality: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 938
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/adverse-event-causality: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2250
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/adverse-event-causality'"
            },
            "expression": [
              "CodeSystem/adverse-event-causality: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/adverse-event-causality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2398
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/adverse-event-causality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2398
              },
              {
                "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/adverse-event-causality: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/adverse-event-causality vs http://hl7.org/fhir/adverse-event-causality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-adverse-event-causality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-adverse-event-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/adverse-event-outcome: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1397
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/adverse-event-outcome: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/adverse-event-outcome: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/adverse-event-outcome has an 'all system' value set of http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/adverse-event-outcome)"
            },
            "expression": [
              "CodeSystem/adverse-event-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3040
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/adverse-event-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3040
              },
              {
                "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/adverse-event-outcome: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/adverse-event-outcome vs http://hl7.org/fhir/adverse-event-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-adverse-event-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-adverse-event-seriousness",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-seriousness",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/adverse-event-seriousness: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/adverse-event-seriousness: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/adverse-event-seriousness: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/adverse-event-seriousness has an 'all system' value set of http://hl7.org/fhir/ValueSet/adverse-event-seriousness|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/adverse-event-seriousness)"
            },
            "expression": [
              "CodeSystem/adverse-event-seriousness: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2468
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/adverse-event-seriousness: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2468
              },
              {
                "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/adverse-event-seriousness: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/adverse-event-seriousness vs http://hl7.org/fhir/adverse-event-seriousness"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-adverse-event-seriousness"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-allerg-intol-substance-exp-risk",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allerg-intol-substance-exp-risk",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/allerg-intol-substance-exp-risk: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1254
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/allerg-intol-substance-exp-risk: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/allerg-intol-substance-exp-risk: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3088
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/allerg-intol-substance-exp-risk: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/allerg-intol-substance-exp-risk vs http://hl7.org/fhir/allerg-intol-substance-exp-risk"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-allerg-intol-substance-exp-risk"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-allergy-clinical-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergy-clinical-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/allergy-clinical-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1427
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/allergy-clinical-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/allergy-clinical-status'"
            },
            "expression": [
              "CodeSystem/allergy-clinical-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/allergy-clinical-status: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/allergy-clinical-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3239
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/allergy-clinical-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/allergy-clinical-status vs http://hl7.org/fhir/allergy-clinical-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-allergy-clinical-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-allergy-intolerance-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergy-intolerance-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2015
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4364
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/allergy-intolerance-category vs http://hl7.org/fhir/allergy-intolerance-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-allergy-intolerance-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-allergy-intolerance-criticality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergy-intolerance-criticality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1494
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-criticality: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1465
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-criticality: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-criticality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3392
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-criticality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/allergy-intolerance-criticality vs http://hl7.org/fhir/allergy-intolerance-criticality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-allergy-intolerance-criticality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-allergy-intolerance-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergy-intolerance-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1505
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3542
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/allergy-intolerance-type vs http://hl7.org/fhir/allergy-intolerance-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-allergy-intolerance-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-allergy-verification-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergy-verification-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/allergy-verification-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1744
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/allergy-verification-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/allergy-verification-status'"
            },
            "expression": [
              "CodeSystem/allergy-verification-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/allergy-verification-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3904
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/allergy-verification-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/allergy-verification-status vs http://hl7.org/fhir/allergy-verification-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-allergy-verification-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-animal-genderstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-animal-genderstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1329
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/animal-genderstatus: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1300
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/animal-genderstatus: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/animal-genderstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3234
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/animal-genderstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/animal-genderstatus vs http://hl7.org/fhir/animal-genderstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-animal-genderstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-animal-species",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-animal-species",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/animal-species: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/animal-species: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/animal-species: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/animal-species has an 'all system' value set of http://hl7.org/fhir/ValueSet/animal-species|5.2.0, but the value set doesn't have a matching system (http://snomed.info/sct)"
            },
            "expression": [
              "CodeSystem/animal-species: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2961
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/animal-species: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/animal-species vs http://hl7.org/fhir/animal-species"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-animal-species"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-appointmentstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-appointmentstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/appointmentstatus: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2317
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/appointmentstatus: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4777
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/appointmentstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4777
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/appointmentstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/appointmentstatus vs http://hl7.org/fhir/appointmentstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-appointmentstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-assert-direction-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-assert-direction-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/assert-direction-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 992
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/assert-direction-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/assert-direction-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2576
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/assert-direction-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/assert-direction-codes vs http://hl7.org/fhir/assert-direction-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-assert-direction-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-assert-operator-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-assert-operator-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/assert-operator-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2504
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/assert-operator-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/assert-operator-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4909
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/assert-operator-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/assert-operator-codes vs http://hl7.org/fhir/assert-operator-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-assert-operator-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-assert-response-code-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-assert-response-code-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/assert-response-code-types: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2360
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/assert-response-code-types: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/assert-response-code-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4696
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/assert-response-code-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/assert-response-code-types vs http://hl7.org/fhir/assert-response-code-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-assert-response-code-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-audit-entity-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-entity-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/audit-entity-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1138
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/audit-entity-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/audit-entity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the contact url should be 'http://www.hl7.org/Special/committees/secure' but it was not found"
            },
            "expression": [
              "CodeSystem/audit-entity-type: 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_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/audit-entity-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/audit-entity-type|4.3.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/audit-entity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2830
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/audit-entity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/audit-entity-type vs http://hl7.org/fhir/audit-entity-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-audit-entity-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-audit-event-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-event-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1589
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/audit-event-action: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1560
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/audit-event-action: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/audit-event-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3513
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/audit-event-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/audit-event-action vs http://hl7.org/fhir/audit-event-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-audit-event-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-audit-event-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-event-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/audit-event-outcome: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1529
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/audit-event-outcome: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/audit-event-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3473
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/audit-event-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/audit-event-outcome vs http://hl7.org/fhir/audit-event-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-audit-event-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-audit-event-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-event-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/audit-event-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 838
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/audit-event-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/audit-event-type: 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_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/audit-event-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/audit-event-type|4.3.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/audit-event-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2544
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/audit-event-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/audit-event-type vs http://hl7.org/fhir/audit-event-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-audit-event-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-audit-source-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-source-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2097
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/audit-source-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2068
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/audit-source-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/audit-source-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/security-source-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/audit-source-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/security-source-type)"
            },
            "expression": [
              "CodeSystem/audit-source-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4283
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/audit-source-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/audit-source-type vs http://hl7.org/fhir/security-source-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-audit-source-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-basic-resource-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-basic-resource-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/basic-resource-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4603
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/basic-resource-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/basic-resource-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/basic-resource-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/basic-resource-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/basic-resource-type)"
            },
            "expression": [
              "CodeSystem/basic-resource-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9178
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/basic-resource-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/basic-resource-type vs http://hl7.org/fhir/basic-resource-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-basic-resource-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-benefit-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/benefit-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1285
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/benefit-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/benefit-category'"
            },
            "expression": [
              "CodeSystem/benefit-category: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/benefit-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3059
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/benefit-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/benefit-category vs http://hl7.org/fhir/benefit-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-benefit-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-benefit-network",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-network",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/benefit-network: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/benefit-network: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/benefit-network: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/benefit-network has an 'all system' value set of http://hl7.org/fhir/ValueSet/benefit-network|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/benefit-network)"
            },
            "expression": [
              "CodeSystem/benefit-network: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2574
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/benefit-network: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/benefit-network vs http://hl7.org/fhir/benefit-network"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-benefit-network"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-benefit-subcategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-subcategory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/benefit-subcategory: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4609
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/benefit-subcategory: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/benefit-subcategory'"
            },
            "expression": [
              "CodeSystem/benefit-subcategory: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/benefit-subcategory: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8178
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/benefit-subcategory: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/benefit-subcategory vs http://hl7.org/fhir/benefit-subcategory"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-benefit-subcategory"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-benefit-term",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-term",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1094
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/benefit-term: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/benefit-term: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/benefit-term: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/benefit-term has an 'all system' value set of http://hl7.org/fhir/ValueSet/benefit-term|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/benefit-term)"
            },
            "expression": [
              "CodeSystem/benefit-term: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2708
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/benefit-term: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/benefit-term vs http://hl7.org/fhir/benefit-term"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-benefit-term"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-benefit-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/benefit-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2537
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/benefit-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/benefit-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/benefit-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/benefit-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/benefit-type)"
            },
            "expression": [
              "CodeSystem/benefit-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5041
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/benefit-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/benefit-type vs http://hl7.org/fhir/benefit-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-benefit-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-benefit-unit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-unit",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/benefit-unit: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 961
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/benefit-unit: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/benefit-unit: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/benefit-unit has an 'all system' value set of http://hl7.org/fhir/ValueSet/benefit-unit|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/benefit-unit)"
            },
            "expression": [
              "CodeSystem/benefit-unit: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2550
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/benefit-unit: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/benefit-unit vs http://hl7.org/fhir/benefit-unit"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-benefit-unit"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-binding-strength",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-binding-strength",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1895
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/binding-strength: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1866
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/binding-strength: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/binding-strength: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4190
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/binding-strength: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/binding-strength vs http://hl7.org/fhir/binding-strength"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-binding-strength"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-bundle-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-bundle-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/bundle-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2593
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/bundle-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/bundle-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5335
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/bundle-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/bundle-type vs http://hl7.org/fhir/bundle-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-bundle-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-capability-statement-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-capability-statement-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/capability-statement-kind: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1572
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/capability-statement-kind: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/capability-statement-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3590
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/capability-statement-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/capability-statement-kind vs http://hl7.org/fhir/capability-statement-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-capability-statement-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-care-plan-activity-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-care-plan-activity-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/care-plan-activity-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2118
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/care-plan-activity-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/care-plan-activity-category'"
            },
            "expression": [
              "CodeSystem/care-plan-activity-category: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/care-plan-activity-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4374
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/care-plan-activity-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/care-plan-activity-category vs http://hl7.org/fhir/care-plan-activity-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-care-plan-activity-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-care-plan-activity-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-care-plan-activity-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/care-plan-activity-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2141
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/care-plan-activity-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/care-plan-activity-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4424
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/care-plan-activity-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/care-plan-activity-status vs http://hl7.org/fhir/care-plan-activity-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-care-plan-activity-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-care-plan-intent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-care-plan-intent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/care-plan-intent: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1836
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/care-plan-intent: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/care-plan-intent: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/care-plan-intent has an 'all system' value set of http://hl7.org/fhir/ValueSet/care-plan-intent|4.3.0, but the value set doesn't have a matching system (http://hl7.org/fhir/request-intent)"
            },
            "expression": [
              "CodeSystem/care-plan-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4037
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/care-plan-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/care-plan-intent vs http://hl7.org/fhir/care-plan-intent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-care-plan-intent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-care-plan-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-care-plan-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/care-plan-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2070
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/care-plan-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/care-plan-status'"
            },
            "expression": [
              "CodeSystem/care-plan-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/care-plan-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4416
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/care-plan-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/care-plan-status vs http://hl7.org/fhir/care-plan-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-care-plan-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-care-team-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-care-team-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/care-team-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2931
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/care-team-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/care-team-category: 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_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/care-team-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/care-team-category|4.3.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/care-team-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6104
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/care-team-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/care-team-category vs http://hl7.org/fhir/care-team-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-care-team-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-care-team-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-care-team-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1758
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/care-team-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1729
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/care-team-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/care-team-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3793
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/care-team-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/care-team-status vs http://hl7.org/fhir/care-team-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-care-team-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-chargeitem-billingcodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-chargeitem-billingcodes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/chargeitem-billingcodes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1939
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/chargeitem-billingcodes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/chargeitem-billingcodes: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/chargeitem-billingcodes has an 'all system' value set of http://hl7.org/fhir/ValueSet/chargeitem-billingcodes|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/chargeitem-billingcodes)"
            },
            "expression": [
              "CodeSystem/chargeitem-billingcodes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4297
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/chargeitem-billingcodes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/chargeitem-billingcodes vs http://hl7.org/fhir/chargeitem-billingcodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-chargeitem-billingcodes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-chargeitem-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-chargeitem-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/chargeitem-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2433
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/chargeitem-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/chargeitem-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5085
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/chargeitem-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/chargeitem-status vs http://hl7.org/fhir/chargeitem-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-chargeitem-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-choice-list-orientation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-choice-list-orientation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/choice-list-orientation: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/choice-list-orientation: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2598
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/choice-list-orientation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2598
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/choice-list-orientation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/choice-list-orientation vs http://hl7.org/fhir/choice-list-orientation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-choice-list-orientation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-chromosome-human",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-chromosome-human",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/chromosome-human: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3725
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/chromosome-human: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6676
              },
              {
                "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/CodeSystem#csd-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-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/CodeSystem)"
            },
            "expression": [
              "CodeSystem/chromosome-human: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "CodeSystem/chromosome-human: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/chromosome-human has an 'all system' value set of http://hl7.org/fhir/ValueSet/chromosome-human|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/chromosome-human)"
            },
            "expression": [
              "CodeSystem/chromosome-human: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6676
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/chromosome-human: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/chromosome-human vs http://hl7.org/fhir/chromosome-human"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-chromosome-human"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-claim-careteamrole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-careteamrole",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/claim-careteamrole: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1285
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/claim-careteamrole: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/claim-careteamrole: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/claimcareteamrole has an 'all system' value set of http://hl7.org/fhir/ValueSet/claim-careteamrole|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/claimcareteamrole)"
            },
            "expression": [
              "CodeSystem/claim-careteamrole: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3047
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/claim-careteamrole: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/claim-careteamrole vs http://hl7.org/fhir/claimcareteamrole"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-claim-careteamrole"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-claim-exception",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-exception",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/claim-exception: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/claim-exception: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2449
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/claim-exception: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/claim-exception has an 'all system' value set of http://hl7.org/fhir/ValueSet/claim-exception|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/claim-exception)"
            },
            "expression": [
              "CodeSystem/claim-exception: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2449
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/claim-exception: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/claim-exception vs http://hl7.org/fhir/claim-exception"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-claim-exception"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-claim-informationcategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-informationcategory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/claim-informationcategory: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2644
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/claim-informationcategory: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/claim-informationcategory: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/claiminformationcategory has an 'all system' value set of http://hl7.org/fhir/ValueSet/claim-informationcategory|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/claiminformationcategory)"
            },
            "expression": [
              "CodeSystem/claim-informationcategory: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5263
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/claim-informationcategory: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/claim-informationcategory vs http://hl7.org/fhir/claiminformationcategory"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-claim-informationcategory"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-claim-modifiers",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-modifiers",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/claim-modifiers: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1621
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/claim-modifiers: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3629
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/claim-modifiers: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/modifiers has an 'all system' value set of http://hl7.org/fhir/ValueSet/claim-modifiers|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/modifiers)"
            },
            "expression": [
              "CodeSystem/claim-modifiers: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3629
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/claim-modifiers: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/claim-modifiers vs http://hl7.org/fhir/modifiers"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-claim-modifiers"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-claim-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-subtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/claim-subtype: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/claim-subtype: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/claim-subtype: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-claimsubtype has an 'all system' value set of http://hl7.org/fhir/ValueSet/claim-subtype|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-claimsubtype)"
            },
            "expression": [
              "CodeSystem/claim-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2691
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/claim-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/claim-subtype vs http://hl7.org/fhir/ex-claimsubtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-claim-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-claim-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/claim-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1563
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/claim-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/claim-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-claimtype has an 'all system' value set of http://hl7.org/fhir/ValueSet/claim-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/claim-type)"
            },
            "expression": [
              "CodeSystem/claim-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3579
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/claim-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/claim-type vs http://hl7.org/fhir/ex-claimtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-claim-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-claim-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/claim-use: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1366
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/claim-use: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/claim-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3186
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/claim-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/claim-use vs http://hl7.org/fhir/claim-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-claim-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-classification-or-context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-classification-or-context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/classification-or-context: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/classification-or-context: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/classification-or-context'"
            },
            "expression": [
              "CodeSystem/classification-or-context: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2879
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/classification-or-context: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2879
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/classification-or-context: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/classification-or-context vs http://hl7.org/fhir/classification-or-context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-classification-or-context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-clinical-impression-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-clinical-impression-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/clinical-impression-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1326
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/clinical-impression-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2648
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/clinical-impression-status'"
            },
            "expression": [
              "CodeSystem/clinical-impression-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/clinical-impression-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3072
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/clinical-impression-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/clinical-impression-status vs http://hl7.org/fhir/clinical-impression-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-clinical-impression-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-codesystem-content-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-content-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/codesystem-content-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1533
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/codesystem-content-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3580
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/codesystem-content-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/codesystem-content-mode vs http://hl7.org/fhir/codesystem-content-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-codesystem-content-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-codesystem-hierarchy-meaning",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-hierarchy-meaning",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/codesystem-hierarchy-meaning: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2043
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/codesystem-hierarchy-meaning: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4487
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/codesystem-hierarchy-meaning: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/codesystem-hierarchy-meaning vs http://hl7.org/fhir/codesystem-hierarchy-meaning"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-codesystem-hierarchy-meaning"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-common-tags",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-common-tags",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/common-tags: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 808
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/common-tags: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2254
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/common-tags: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/common-tags has an 'all system' value set of http://hl7.org/fhir/ValueSet/common-tags|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/common-tags)"
            },
            "expression": [
              "CodeSystem/common-tags: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2254
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/common-tags: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/common-tags vs http://hl7.org/fhir/common-tags"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-common-tags"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-communication-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-communication-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/communication-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1362
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/communication-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/communication-category: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/communication-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/communication-category|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/communication-category)"
            },
            "expression": [
              "CodeSystem/communication-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3136
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/communication-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/communication-category vs http://hl7.org/fhir/communication-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-communication-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-communication-not-done-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-communication-not-done-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2056
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/communication-not-done-reason: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2027
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/communication-not-done-reason: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/communication-not-done-reason: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/communication-not-done-reason has an 'all system' value set of http://hl7.org/fhir/ValueSet/communication-not-done-reason|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/communication-not-done-reason)"
            },
            "expression": [
              "CodeSystem/communication-not-done-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4195
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/communication-not-done-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/communication-not-done-reason vs http://hl7.org/fhir/communication-not-done-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-communication-not-done-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-compartment-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-compartment-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/compartment-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1473
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/compartment-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/compartment-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3420
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/compartment-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/compartment-type vs http://hl7.org/fhir/compartment-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-compartment-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-composite-measure-scoring",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-composite-measure-scoring",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/composite-measure-scoring: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1779
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/composite-measure-scoring: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "CodeSystem/composite-measure-scoring: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/composite-measure-scoring has an 'all system' value set of http://hl7.org/fhir/ValueSet/composite-measure-scoring|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/composite-measure-scoring)"
            },
            "expression": [
              "CodeSystem/composite-measure-scoring: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3936
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/composite-measure-scoring: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/composite-measure-scoring vs http://hl7.org/fhir/composite-measure-scoring"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-composite-measure-scoring"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-composition-attestation-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-composition-attestation-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/composition-attestation-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1567
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/composition-attestation-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/composition-attestation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3500
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/composition-attestation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/composition-attestation-mode vs http://hl7.org/fhir/composition-attestation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-composition-attestation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-composition-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-composition-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/composition-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1864
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/composition-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/composition-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4135
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/composition-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/composition-status vs http://hl7.org/fhir/composition-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-composition-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-concept-map-equivalence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-concept-map-equivalence",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/concept-map-equivalence: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3759
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/concept-map-equivalence: CodeSystem.extension[0].url"
            ]
          },
          {
            "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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/concept-map-equivalence: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7294
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/concept-map-equivalence: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/concept-map-equivalence vs http://hl7.org/fhir/concept-map-equivalence"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-concept-map-equivalence"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-concept-properties",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-concept-properties",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/concept-properties: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2324
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/concept-properties: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/concept-properties'"
            },
            "expression": [
              "CodeSystem/concept-properties: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/concept-properties: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5025
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/concept-properties: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5025
              },
              {
                "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/concept-properties: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/concept-properties vs http://hl7.org/fhir/concept-properties"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-concept-properties"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-concept-property-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-concept-property-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/concept-property-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1889
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/concept-property-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4071
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/concept-property-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/concept-property-type vs http://hl7.org/fhir/concept-property-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-concept-property-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-conceptmap-unmapped-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conceptmap-unmapped-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/conceptmap-unmapped-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1243
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/conceptmap-unmapped-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3019
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/conceptmap-unmapped-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/conceptmap-unmapped-mode vs http://hl7.org/fhir/conceptmap-unmapped-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-conceptmap-unmapped-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-condition-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/condition-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1205
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/condition-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2941
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/condition-category: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/condition-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/condition-category|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/condition-category)"
            },
            "expression": [
              "CodeSystem/condition-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2941
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/condition-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/condition-category vs http://hl7.org/fhir/condition-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-condition-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-condition-clinical",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-clinical",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/condition-clinical: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2011
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/condition-clinical: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/condition-clinical: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/condition-clinical: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/condition-clinical has an 'all system' value set of http://hl7.org/fhir/ValueSet/condition-clinical|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/condition-clinical)"
            },
            "expression": [
              "CodeSystem/condition-clinical: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4270
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/condition-clinical: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/condition-clinical vs http://hl7.org/fhir/condition-clinical"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-condition-clinical"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-condition-state",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-state",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/condition-state: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1101
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/condition-state: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/condition-state: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/condition-state has an 'all system' value set of http://hl7.org/fhir/ValueSet/condition-state, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/condition-state)"
            },
            "expression": [
              "CodeSystem/condition-state: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2748
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/condition-state: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/condition-state vs http://hl7.org/fhir/condition-state"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-condition-state"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-condition-ver-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-ver-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/condition-ver-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2104
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/condition-ver-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/condition-ver-status: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/condition-ver-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/condition-ver-status|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/condition-ver-status)"
            },
            "expression": [
              "CodeSystem/condition-ver-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4488
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/condition-ver-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/condition-ver-status vs http://hl7.org/fhir/condition-ver-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-condition-ver-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-conditional-delete-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conditional-delete-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/conditional-delete-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1341
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/conditional-delete-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3146
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/conditional-delete-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3146
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/conditional-delete-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/conditional-delete-status vs http://hl7.org/fhir/conditional-delete-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-conditional-delete-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-conditional-read-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conditional-read-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/conditional-read-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1548
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/conditional-read-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/conditional-read-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3481
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/conditional-read-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/conditional-read-status vs http://hl7.org/fhir/conditional-read-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-conditional-read-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-conformance-expectation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conformance-expectation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/conformance-expectation: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1564
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/conformance-expectation: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/conformance-expectation: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/conformance-expectation has an 'all system' value set of http://hl7.org/fhir/ValueSet/conformance-expectation, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/conformance-expectation)"
            },
            "expression": [
              "CodeSystem/conformance-expectation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3691
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/conformance-expectation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/conformance-expectation vs http://hl7.org/fhir/conformance-expectation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-conformance-expectation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-consent-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1554
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/consent-action: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1525
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/consent-action: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "CodeSystem/consent-action: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/consentaction has an 'all system' value set of http://hl7.org/fhir/ValueSet/consent-action|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/consentaction)"
            },
            "expression": [
              "CodeSystem/consent-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3515
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/consent-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/consent-action vs http://hl7.org/fhir/consentaction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-consent-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-consent-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/consent-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18333
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/consent-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "CodeSystem/consent-category: 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_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/consentcategorycodes has an 'all system' value set of http://hl7.org/fhir/ValueSet/consent-category|4.3.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/consent-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36370
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/consent-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/consent-category vs http://hl7.org/fhir/consentcategorycodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-consent-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-consent-data-meaning",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-data-meaning",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/consent-data-meaning: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1494
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/consent-data-meaning: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "CodeSystem/consent-data-meaning: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3444
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/consent-data-meaning: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/consent-data-meaning vs http://hl7.org/fhir/consent-data-meaning"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-consent-data-meaning"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-consent-except-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-except-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/consent-except-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1003
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/consent-except-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/consent-except-type'"
            },
            "expression": [
              "CodeSystem/consent-except-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "CodeSystem/consent-except-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2630
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/consent-except-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/consent-except-type vs http://hl7.org/fhir/consent-except-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-consent-except-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-consent-state-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-state-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1858
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/consent-state-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1829
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/consent-state-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "CodeSystem/consent-state-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3936
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/consent-state-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/consent-state-codes vs http://hl7.org/fhir/consent-state-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-consent-state-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-constraint-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-constraint-severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/constraint-severity: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1077
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/constraint-severity: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/constraint-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2708
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/constraint-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/constraint-severity vs http://hl7.org/fhir/constraint-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-constraint-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contact-point-system",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contact-point-system",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contact-point-system: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2544
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contact-point-system: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/contact-point-system: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5291
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contact-point-system: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contact-point-system vs http://hl7.org/fhir/contact-point-system"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contact-point-system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contact-point-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contact-point-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contact-point-use: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1945
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contact-point-use: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/contact-point-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4235
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contact-point-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contact-point-use vs http://hl7.org/fhir/contact-point-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contact-point-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contactentity-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contactentity-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contactentity-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1786
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contactentity-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/contactentity-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contactentity-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/contactentity-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contactentity-type)"
            },
            "expression": [
              "CodeSystem/contactentity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3956
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contactentity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contactentity-type vs http://hl7.org/fhir/contactentity-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contactentity-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-content-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-content-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/content-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1231
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/content-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/content-type'"
            },
            "expression": [
              "CodeSystem/content-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2977
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/content-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2977
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/content-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/content-type vs http://hl7.org/fhir/content-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-content-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contract-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contract-action: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contract-action: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://www.hl7.org/fhir/contractaction has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-action|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contractaction)"
            },
            "expression": [
              "CodeSystem/contract-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2494
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contract-action vs http://www.hl7.org/fhir/contractaction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contract-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contract-actorrole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-actorrole",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contract-actorrole: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1110
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contract-actorrole: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://www.hl7.org/fhir/contractactorrole has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-actorrole|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contractactorrole)"
            },
            "expression": [
              "CodeSystem/contract-actorrole: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2826
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-actorrole: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contract-actorrole vs http://www.hl7.org/fhir/contractactorrole"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contract-actorrole"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contract-content-derivative",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-content-derivative",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contract-content-derivative: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2220
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contract-content-derivative: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-content-derivative: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the contact url should be 'http://www.hl7.org/Special/committees/fm' but it was not found"
            },
            "expression": [
              "CodeSystem/contract-content-derivative: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contract-content-derivative has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-content-derivative|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contract-content-derivative)"
            },
            "expression": [
              "CodeSystem/contract-content-derivative: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5189
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-content-derivative: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contract-content-derivative vs http://hl7.org/fhir/contract-content-derivative"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contract-content-derivative"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contract-signer-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-signer-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contract-signer-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19034
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contract-signer-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://www.hl7.org/fhir/contractsignertypecodes has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-signer-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contractsignertypecodes)"
            },
            "expression": [
              "CodeSystem/contract-signer-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35806
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-signer-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contract-signer-type vs http://www.hl7.org/fhir/contractsignertypecodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contract-signer-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contract-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contract-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7126
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contract-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the contact url should be 'http://www.hl7.org/Special/committees/fm' but it was not found"
            },
            "expression": [
              "CodeSystem/contract-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14039
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contract-status vs http://hl7.org/fhir/contract-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contract-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contract-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-subtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contract-subtype: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contract-subtype: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-subtype: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contractsubtypecodes has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-subtype|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contractsubtypecodes)"
            },
            "expression": [
              "CodeSystem/contract-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2659
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contract-subtype vs http://hl7.org/fhir/contractsubtypecodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contract-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contract-term-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-term-subtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contract-term-subtype: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1290
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contract-term-subtype: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-term-subtype: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contracttermsubtypecodes has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-term-subtype|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contracttermsubtypecodes)"
            },
            "expression": [
              "CodeSystem/contract-term-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3103
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-term-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contract-term-subtype vs http://hl7.org/fhir/contracttermsubtypecodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contract-term-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contract-term-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-term-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contract-term-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1075
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contract-term-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-term-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contracttermtypecodes has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-term-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contracttermtypecodes)"
            },
            "expression": [
              "CodeSystem/contract-term-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2754
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-term-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contract-term-type vs http://hl7.org/fhir/contracttermtypecodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contract-term-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contract-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contract-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1392
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contract-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/contracttypecodes has an 'all system' value set of http://hl7.org/fhir/ValueSet/contract-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/contract-type)"
            },
            "expression": [
              "CodeSystem/contract-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3209
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contract-type vs http://hl7.org/fhir/contracttypecodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contract-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-contributor-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contributor-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/contributor-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1288
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/contributor-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2984
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/contributor-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2984
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contributor-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/contributor-type vs http://hl7.org/fhir/contributor-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-contributor-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-copy-number-event",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-copy-number-event",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/copy-number-event: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/copy-number-event: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/copy-number-event: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/copy-number-event has an 'all system' value set of http://hl7.org/fhir/ValueSet/copy-number-event, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/copy-number-event)"
            },
            "expression": [
              "CodeSystem/copy-number-event: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2566
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/copy-number-event: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/copy-number-event vs http://hl7.org/fhir/copy-number-event"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-copy-number-event"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-coverage-level",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-level",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/coverage-level: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1509
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/coverage-level: CodeSystem.extension[0].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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/coverage-level'"
            },
            "expression": [
              "CodeSystem/coverage-level: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/coverage-level: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the contact url should be 'http://www.hl7.org/Special/committees/fiwg' but it was not found"
            },
            "expression": [
              "CodeSystem/coverage-level: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3393
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/coverage-level: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/coverage-level vs http://hl7.org/fhir/coverage-level"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-coverage-level"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-coverage-selfpay",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-selfpay",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 859
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/coverage-selfpay: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 830
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/coverage-selfpay: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/coverage-selfpay: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the contact url should be 'http://www.hl7.org/Special/committees/fiwg' but it was not found"
            },
            "expression": [
              "CodeSystem/coverage-selfpay: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/coverage-selfpay has an 'all system' value set of http://hl7.org/fhir/ValueSet/coverage-selfpay, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/coverage-selfpay)"
            },
            "expression": [
              "CodeSystem/coverage-selfpay: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2339
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/coverage-selfpay: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/coverage-selfpay vs http://hl7.org/fhir/coverage-selfpay"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-coverage-selfpay"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-cqif-evidence-quality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cqif-evidence-quality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/cqif-evidence-quality: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1281
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/cqif-evidence-quality: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/cqif-evidence-quality'"
            },
            "expression": [
              "CodeSystem/cqif-evidence-quality: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/cqif-evidence-quality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3024
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/cqif-evidence-quality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/cqif-evidence-quality vs http://hl7.org/fhir/evidence-quality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-cqif-evidence-quality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-cqif-recommendation-strength",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cqif-recommendation-strength",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/cqif-recommendation-strength: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/cqif-recommendation-strength: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/cqif-recommendation-strength'"
            },
            "expression": [
              "CodeSystem/cqif-recommendation-strength: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/cqif-recommendation-strength: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2576
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/cqif-recommendation-strength: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/cqif-recommendation-strength vs http://hl7.org/fhir/recommendation-strength"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-cqif-recommendation-strength"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-data-absent-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-data-absent-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2763
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/data-absent-reason: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2734
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/data-absent-reason: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/data-absent-reason: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/data-absent-reason: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/data-absent-reason has an 'all system' value set of http://hl7.org/fhir/ValueSet/data-absent-reason|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/data-absent-reason)"
            },
            "expression": [
              "CodeSystem/data-absent-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5369
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/data-absent-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/data-absent-reason vs http://hl7.org/fhir/data-absent-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-data-absent-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-data-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-data-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/data-types: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12692
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/data-types: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/data-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22721
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/data-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22721
              },
              {
                "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/data-types: CodeSystem.concept[32]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/data-types vs http://hl7.org/fhir/data-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-data-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-dataelement-stringency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dataelement-stringency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/dataelement-stringency: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2774
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/dataelement-stringency: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/dataelement-stringency'"
            },
            "expression": [
              "CodeSystem/dataelement-stringency: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/dataelement-stringency: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/dataelement-stringency: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5642
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/dataelement-stringency: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/dataelement-stringency vs http://hl7.org/fhir/dataelement-stringency"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-dataelement-stringency"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-days-of-week",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-days-of-week",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/days-of-week: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1443
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/days-of-week: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/days-of-week: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3161
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/days-of-week: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/days-of-week vs http://hl7.org/fhir/days-of-week"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-days-of-week"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-definition-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/definition-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1554
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/definition-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/definition-status: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/definition-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/definition-status|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/definition-status)"
            },
            "expression": [
              "CodeSystem/definition-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3525
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/definition-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/definition-status vs http://hl7.org/fhir/definition-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-definition-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-definition-topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-topic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/definition-topic: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1193
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/definition-topic: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2927
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/definition-topic: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/definition-topic has an 'all system' value set of http://hl7.org/fhir/ValueSet/definition-topic|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/definition-topic)"
            },
            "expression": [
              "CodeSystem/definition-topic: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2927
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/definition-topic: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/definition-topic vs http://hl7.org/fhir/definition-topic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-definition-topic"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-designation-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-designation-usage"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-detectedissue-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-detectedissue-severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/detectedissue-severity: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1393
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/detectedissue-severity: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3303
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/detectedissue-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3303
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/detectedissue-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/detectedissue-severity vs http://hl7.org/fhir/detectedissue-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-detectedissue-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-device-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/device-action: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1229
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/device-action: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/device-action: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/device-action has an 'all system' value set of http://hl7.org/fhir/ValueSet/device-action|4.3.0, but the value set doesn't have a matching system (http://snomed.info/sct)"
            },
            "expression": [
              "CodeSystem/device-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3380
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/device-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/device-action vs http://hl7.org/fhir/device-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-device-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-device-statement-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-statement-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/device-statement-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1871
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/device-statement-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/device-statement-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3997
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/device-statement-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/device-statement-status vs http://hl7.org/fhir/device-statement-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-device-statement-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-device-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/device-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1595
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/device-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3540
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/device-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3540
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/device-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/device-status vs http://hl7.org/fhir/device-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-device-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-diagnosis-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-diagnosis-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/diagnosis-role: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1406
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/diagnosis-role: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/diagnosis-role: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/diagnosis-role has an 'all system' value set of http://hl7.org/fhir/ValueSet/diagnosis-role|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/diagnosis-role)"
            },
            "expression": [
              "CodeSystem/diagnosis-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/diagnosis-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/diagnosis-role: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/diagnosis-role vs http://hl7.org/fhir/diagnosis-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-diagnosis-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-diagnostic-report-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-diagnostic-report-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/diagnostic-report-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3613
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/diagnostic-report-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/diagnostic-report-status: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/diagnostic-report-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6965
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/diagnostic-report-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/diagnostic-report-status vs http://hl7.org/fhir/diagnostic-report-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-diagnostic-report-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-dicom-audit-lifecycle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dicom-audit-lifecycle",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/dicom-audit-lifecycle: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2374
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/dicom-audit-lifecycle: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/dicom-audit-lifecycle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4583
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/dicom-audit-lifecycle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4583
              },
              {
                "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/dicom-audit-lifecycle: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/dicom-audit-lifecycle vs http://hl7.org/fhir/dicom-audit-lifecycle"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-dicom-audit-lifecycle"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-dicom-dcim",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dicom-dcim",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 711112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/dicom-dcim: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 711083
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/dicom-dcim: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 712816
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/dicom-dcim'"
            },
            "expression": [
              "CodeSystem/dicom-dcim: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1235937
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/dicom-dcim: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1235937
              },
              {
                "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.experimental is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/dicom-dcim: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/dicom-dcim vs http://dicom.nema.org/resources/ontology/DCM"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-dicom-dcim"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-digital-media-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-digital-media-subtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/digital-media-subtype: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2077
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/digital-media-subtype: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3734
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/digital-media-subtype'"
            },
            "expression": [
              "CodeSystem/digital-media-subtype: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/digital-media-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4624
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/digital-media-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/digital-media-subtype vs http://hl7.org/fhir/media-subtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-digital-media-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-digital-media-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-digital-media-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/digital-media-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1250
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/digital-media-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/digital-media-type'"
            },
            "expression": [
              "CodeSystem/digital-media-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2985
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/digital-media-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2985
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/digital-media-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/digital-media-type vs http://hl7.org/fhir/digital-media-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-digital-media-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-discriminator-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-discriminator-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/discriminator-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1709
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/discriminator-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/discriminator-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3797
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/discriminator-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/discriminator-type vs http://hl7.org/fhir/discriminator-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-discriminator-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-document-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-document-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/document-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/document-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/document-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2562
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/document-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/document-mode vs http://hl7.org/fhir/document-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-document-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-document-reference-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-document-reference-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/document-reference-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1260
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/document-reference-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/document-reference-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2955
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/document-reference-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/document-reference-status vs http://hl7.org/fhir/document-reference-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-document-reference-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-document-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-document-relationship-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/document-relationship-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1514
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/document-relationship-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/document-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3398
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/document-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/document-relationship-type vs http://hl7.org/fhir/document-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-document-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-encounter-admit-source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-admit-source",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/encounter-admit-source: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3012
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/encounter-admit-source: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-admit-source: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/admit-source has an 'all system' value set of http://hl7.org/fhir/ValueSet/encounter-admit-source|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/admit-source)"
            },
            "expression": [
              "CodeSystem/encounter-admit-source: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6057
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-admit-source: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/encounter-admit-source vs http://hl7.org/fhir/admit-source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-encounter-admit-source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-encounter-diet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-diet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1816
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/encounter-diet: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1787
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/encounter-diet: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3891
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-diet: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/diet has an 'all system' value set of http://hl7.org/fhir/ValueSet/encounter-diet|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/diet)"
            },
            "expression": [
              "CodeSystem/encounter-diet: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3891
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-diet: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/encounter-diet vs http://hl7.org/fhir/diet"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-encounter-diet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-encounter-discharge-disposition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-discharge-disposition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/encounter-discharge-disposition: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2813
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/encounter-discharge-disposition: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-discharge-disposition: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/discharge-disposition has an 'all system' value set of http://hl7.org/fhir/ValueSet/encounter-discharge-disposition|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/discharge-disposition)"
            },
            "expression": [
              "CodeSystem/encounter-discharge-disposition: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5549
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-discharge-disposition: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/encounter-discharge-disposition vs http://hl7.org/fhir/discharge-disposition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-encounter-discharge-disposition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-encounter-location-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-location-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1685
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/encounter-location-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1656
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/encounter-location-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-location-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3671
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-location-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/encounter-location-status vs http://hl7.org/fhir/encounter-location-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-encounter-location-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-encounter-participant-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-participant-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/encounter-participant-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1121
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/encounter-participant-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2823
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-participant-type: 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_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/participant-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/encounter-participant-type|4.3.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/encounter-participant-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2823
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-participant-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/encounter-participant-type vs http://hl7.org/fhir/participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-encounter-participant-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-encounter-special-arrangements",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-special-arrangements",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/encounter-special-arrangements: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1992
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/encounter-special-arrangements: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4345
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-special-arrangements: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/encounter-special-arrangements has an 'all system' value set of http://hl7.org/fhir/ValueSet/encounter-special-arrangements|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/encounter-special-arrangements)"
            },
            "expression": [
              "CodeSystem/encounter-special-arrangements: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4345
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-special-arrangements: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/encounter-special-arrangements vs http://hl7.org/fhir/encounter-special-arrangements"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-encounter-special-arrangements"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-encounter-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/encounter-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2510
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/encounter-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5077
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/encounter-status vs http://hl7.org/fhir/encounter-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-encounter-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-encounter-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/encounter-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1157
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/encounter-type: CodeSystem.extension[0].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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/encounter-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/encounter-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/encounter-type)"
            },
            "expression": [
              "CodeSystem/encounter-type: CodeSystem"
            ]
          },
          {
            "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": "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-type: CodeSystem"
            ]
          },
          {
            "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": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/encounter-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/encounter-type vs http://hl7.org/fhir/encounter-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-encounter-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-endpoint-connection-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-endpoint-connection-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/endpoint-connection-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4264
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/endpoint-connection-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/endpoint-connection-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/endpoint-connection-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/endpoint-connection-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/endpoint-connection-type)"
            },
            "expression": [
              "CodeSystem/endpoint-connection-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8440
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/endpoint-connection-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/endpoint-connection-type vs http://hl7.org/fhir/endpoint-connection-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-endpoint-connection-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-endpoint-payload-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-endpoint-payload-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/endpoint-payload-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1387
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/endpoint-payload-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/endpoint-payload-type: 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_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/endpoint-payload-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/endpoint-payload-type|4.3.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/endpoint-payload-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3637
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/endpoint-payload-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/endpoint-payload-type vs http://hl7.org/fhir/endpoint-payload-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-endpoint-payload-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-endpoint-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-endpoint-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/endpoint-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1789
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/endpoint-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3868
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/endpoint-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3868
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/endpoint-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/endpoint-status vs http://hl7.org/fhir/endpoint-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-endpoint-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-entformula-additive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-entformula-additive",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1486
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/entformula-additive: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1457
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/entformula-additive: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/entformula-additive: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/entformula-additive has an 'all system' value set of http://hl7.org/fhir/ValueSet/entformula-additive|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/entformula-additive)"
            },
            "expression": [
              "CodeSystem/entformula-additive: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/entformula-additive: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/entformula-additive vs http://hl7.org/fhir/entformula-additive"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-entformula-additive"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-episode-of-care-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-episode-of-care-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2734
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/episode-of-care-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2705
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/episode-of-care-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/episode-of-care-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5552
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/episode-of-care-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/episode-of-care-status vs http://hl7.org/fhir/episode-of-care-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-episode-of-care-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-episodeofcare-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-episodeofcare-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/episodeofcare-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1260
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/episodeofcare-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/episodeofcare-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/episodeofcare-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/episodeofcare-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/episodeofcare-type)"
            },
            "expression": [
              "CodeSystem/episodeofcare-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2955
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/episodeofcare-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2955
              },
              {
                "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/episodeofcare-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/episodeofcare-type vs http://hl7.org/fhir/episodeofcare-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-episodeofcare-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-event-capability-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-capability-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/event-capability-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/event-capability-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/event-capability-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2607
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/event-capability-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/event-capability-mode vs http://hl7.org/fhir/event-capability-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-event-capability-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-event-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/event-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2360
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/event-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/event-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4943
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/event-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/event-status vs http://hl7.org/fhir/event-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-event-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-event-timing",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-timing",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/event-timing: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1357
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/event-timing: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/event-timing: 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_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/event-timing has an 'all system' value set of http://hl7.org/fhir/ValueSet/event-timing|4.3.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/event-timing: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3120
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/event-timing: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/event-timing vs http://hl7.org/fhir/event-timing"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-event-timing"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-ex-diagnosisrelatedgroup",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-diagnosisrelatedgroup",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/ex-diagnosisrelatedgroup: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1382
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/ex-diagnosisrelatedgroup: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/ex-diagnosisrelatedgroup: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-diagnosisrelatedgroup has an 'all system' value set of http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-diagnosisrelatedgroup)"
            },
            "expression": [
              "CodeSystem/ex-diagnosisrelatedgroup: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3230
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/ex-diagnosisrelatedgroup: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/ex-diagnosisrelatedgroup vs http://hl7.org/fhir/ex-diagnosisrelatedgroup"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-ex-diagnosisrelatedgroup"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-ex-diagnosistype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-diagnosistype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/ex-diagnosistype: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3334
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/ex-diagnosistype: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/ex-diagnosistype: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-diagnosistype has an 'all system' value set of http://hl7.org/fhir/ValueSet/ex-diagnosistype|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-diagnosistype)"
            },
            "expression": [
              "CodeSystem/ex-diagnosistype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6608
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/ex-diagnosistype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/ex-diagnosistype vs http://hl7.org/fhir/ex-diagnosistype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-ex-diagnosistype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-ex-onsettype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-onsettype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/ex-onsettype: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1074
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/ex-onsettype: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2820
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/ex-onsettype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2820
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/ex-onsettype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/ex-onsettype vs http://hl7.org/fhir/ex-onsettype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-ex-onsettype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-ex-payee-resource-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-payee-resource-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/ex-payee-resource-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1315
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/ex-payee-resource-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/ex-payee-resource-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-payee-resource-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/ex-payee-resource-type, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-payee-resource-type)"
            },
            "expression": [
              "CodeSystem/ex-payee-resource-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2988
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/ex-payee-resource-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/ex-payee-resource-type vs http://hl7.org/fhir/ex-payee-resource-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-ex-payee-resource-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-ex-paymenttype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-paymenttype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/ex-paymenttype: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/ex-paymenttype: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/ex-paymenttype: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-paymenttype has an 'all system' value set of http://hl7.org/fhir/ValueSet/ex-paymenttype|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-paymenttype)"
            },
            "expression": [
              "CodeSystem/ex-paymenttype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2675
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/ex-paymenttype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/ex-paymenttype vs http://hl7.org/fhir/ex-paymenttype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-ex-paymenttype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-ex-program-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-program-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/ex-program-code: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1201
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/ex-program-code: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/ex-program-code: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-programcode has an 'all system' value set of http://hl7.org/fhir/ValueSet/ex-program-code|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-programcode)"
            },
            "expression": [
              "CodeSystem/ex-program-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2910
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/ex-program-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/ex-program-code vs http://hl7.org/fhir/ex-programcode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-ex-program-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-ex-revenue-center",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-revenue-center",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/ex-revenue-center: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2030
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/ex-revenue-center: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/ex-revenue-center: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-revenue-center has an 'all system' value set of http://hl7.org/fhir/ValueSet/ex-revenue-center|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-revenue-center)"
            },
            "expression": [
              "CodeSystem/ex-revenue-center: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/ex-revenue-center: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/ex-revenue-center vs http://hl7.org/fhir/ex-revenue-center"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-ex-revenue-center"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2398
              },
              {
                "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://acme.com/config/fhir/codesystems/internal' could not be found, so the code cannot be validated"
            },
            "expression": [
              "CodeSystem/example: CodeSystem.concept[0].designation[0].use.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2628
              },
              {
                "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://acme.com/config/fhir/codesystems/internal' could not be found, so the code cannot be validated"
            },
            "expression": [
              "CodeSystem/example: CodeSystem.concept[1].designation[0].use.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2833
              },
              {
                "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://acme.com/config/fhir/codesystems/internal' could not be found, so the code cannot be validated"
            },
            "expression": [
              "CodeSystem/example: CodeSystem.concept[2].designation[0].use.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/example: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2900
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/example: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/example vs http://hl7.org/fhir/CodeSystem/example"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-example"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-explanationofbenefit-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-explanationofbenefit-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/explanationofbenefit-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1463
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/explanationofbenefit-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/explanationofbenefit-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3288
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/explanationofbenefit-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/explanationofbenefit-status vs http://hl7.org/fhir/explanationofbenefit-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-explanationofbenefit-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-extension-context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-extension-context",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/extension-context: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1408
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/extension-context: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/extension-context'"
            },
            "expression": [
              "CodeSystem/extension-context: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/extension-context: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3292
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/extension-context: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/extension-context vs http://hl7.org/fhir/extension-context"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-extension-context"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-extra-activity-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-extra-activity-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/extra-activity-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1867
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/extra-activity-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/extra-activity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4262
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/extra-activity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/extra-activity-type vs http://hl7.org/fhir/extra-activity-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-extra-activity-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-extra-security-role-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-extra-security-role-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/extra-security-role-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/extra-security-role-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/extra-security-role-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4943
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/extra-security-role-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/extra-security-role-type vs http://hl7.org/fhir/extra-security-role-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-extra-security-role-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-filter-operator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-filter-operator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/filter-operator: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3007
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/filter-operator: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6211
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/filter-operator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/filter-operator vs http://hl7.org/fhir/filter-operator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-filter-operator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-flag-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-flag-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/flag-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1488
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/flag-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/flag-category: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/flag-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/flag-category|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/flag-category)"
            },
            "expression": [
              "CodeSystem/flag-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3418
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/flag-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/flag-category vs http://hl7.org/fhir/flag-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-flag-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-flag-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-flag-priority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/flag-priority: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1143
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/flag-priority: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/flag-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2835
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/flag-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/flag-priority vs http://hl7.org/fhir/flag-priority-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-flag-priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-flag-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-flag-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/flag-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1237
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/flag-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/flag-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3061
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/flag-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/flag-status vs http://hl7.org/fhir/flag-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-flag-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-fm-conditions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-fm-conditions",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/fm-conditions: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 758
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/fm-conditions: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/fm-conditions: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2197
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/fm-conditions: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/fm-conditions vs http://hl7.org/fhir/fm-conditions"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-fm-conditions"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-fm-itemtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-fm-itemtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/fm-itemtype: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/fm-itemtype: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/fm-itemtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2813
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/fm-itemtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/fm-itemtype vs http://hl7.org/fhir/ex-claimitemtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-fm-itemtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-fm-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-fm-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/fm-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1265
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/fm-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/fm-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3041
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/fm-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/fm-status vs http://hl7.org/fhir/fm-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-fm-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-forms",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-forms",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/forms: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/forms: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/forms: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/forms-codes has an 'all system' value set of http://hl7.org/fhir/ValueSet/forms|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/forms-codes)"
            },
            "expression": [
              "CodeSystem/forms: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2512
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/forms: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/forms vs http://hl7.org/fhir/forms-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-forms"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-fundsreserve",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-fundsreserve",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/fundsreserve: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1342
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/fundsreserve: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/fundsreserve: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/fundsreserve has an 'all system' value set of http://hl7.org/fhir/ValueSet/fundsreserve|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/fundsreserve)"
            },
            "expression": [
              "CodeSystem/fundsreserve: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3266
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/fundsreserve: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/fundsreserve vs http://hl7.org/fhir/fundsreserve"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-fundsreserve"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-goal-acceptance-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-acceptance-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1254
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/goal-acceptance-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1225
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/goal-acceptance-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/goal-acceptance-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2939
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/goal-acceptance-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/goal-acceptance-status vs http://hl7.org/fhir/goal-acceptance-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-goal-acceptance-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-goal-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/goal-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1548
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/goal-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/goal-category: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/goal-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/goal-category|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/goal-category)"
            },
            "expression": [
              "CodeSystem/goal-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3483
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/goal-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/goal-category vs http://hl7.org/fhir/goal-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-goal-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-goal-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-priority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/goal-priority: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1493
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/goal-priority: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/goal-priority: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/goal-priority has an 'all system' value set of http://hl7.org/fhir/ValueSet/goal-priority|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/goal-priority)"
            },
            "expression": [
              "CodeSystem/goal-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3505
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/goal-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/goal-priority vs http://hl7.org/fhir/goal-priority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-goal-priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-goal-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-relationship-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/goal-relationship-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1835
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/goal-relationship-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/goal-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3968
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/goal-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/goal-relationship-type vs http://hl7.org/fhir/goal-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-goal-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-goal-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-status-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/goal-status-reason: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2523
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/goal-status-reason: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/goal-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5136
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/goal-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/goal-status-reason vs http://hl7.org/fhir/goal-status-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-goal-status-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-goal-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/goal-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/goal-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/goal-status: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/goal-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6273
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/goal-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/goal-status vs http://hl7.org/fhir/goal-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-goal-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-graph-compartment-rule",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-graph-compartment-rule",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/graph-compartment-rule: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1477
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/graph-compartment-rule: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/graph-compartment-rule: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/graph-compartment-rule: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/graph-compartment-rule vs http://hl7.org/fhir/graph-compartment-rule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-graph-compartment-rule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-group-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-group-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/group-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1580
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/group-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/group-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/group-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/group-type vs http://hl7.org/fhir/group-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-group-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-guidance-response-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-guidance-response-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/guidance-response-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1867
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/guidance-response-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/guidance-response-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/guidance-response-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/guidance-response-status vs http://hl7.org/fhir/guidance-response-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-guidance-response-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-guide-dependency-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-guide-dependency-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/guide-dependency-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/guide-dependency-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/guide-dependency-type'"
            },
            "expression": [
              "CodeSystem/guide-dependency-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/guide-dependency-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2588
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/guide-dependency-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/guide-dependency-type vs http://hl7.org/fhir/guide-dependency-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-guide-dependency-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-guide-page-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-guide-page-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/guide-page-kind: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2434
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/guide-page-kind: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/guide-page-kind'"
            },
            "expression": [
              "CodeSystem/guide-page-kind: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/guide-page-kind: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/guide-page-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4900
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/guide-page-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/guide-page-kind vs http://hl7.org/fhir/guide-page-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-guide-page-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-history-not-done-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-history-not-done-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/history-not-done-reason: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1553
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/history-not-done-reason: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/history-not-done-reason'"
            },
            "expression": [
              "CodeSystem/history-not-done-reason: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/history-not-done-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3488
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/history-not-done-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/history-not-done-reason vs http://hl7.org/fhir/history-not-done-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-history-not-done-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-history-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-history-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/history-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1521
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/history-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/history-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3481
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/history-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/history-status vs http://hl7.org/fhir/history-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-history-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-hl7-work-group",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-hl7-work-group",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/hl7-work-group: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5428
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/hl7-work-group: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10201
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/hl7-work-group: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10201
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/hl7-work-group: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/hl7-work-group vs http://hl7.org/fhir/hl7-work-group"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-hl7-work-group"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-http-operations",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-http-operations",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/http-operations: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1440
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/http-operations: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/http-operations: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3221
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/http-operations: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/http-operations vs http://hl7.org/fhir/http-operations"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-http-operations"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-http-verb",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-http-verb",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/http-verb: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 995
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/http-verb: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/http-verb: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2542
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/http-verb: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/http-verb vs http://hl7.org/fhir/http-verb"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-http-verb"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-icd-10-procedures",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-icd-10-procedures",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/icd-10-procedures: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/icd-10-procedures: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/icd-10-procedures: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2642
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/icd-10-procedures: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/icd-10-procedures vs http://hl7.org/fhir/sid/ex-icd-10-procedures"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-icd-10-procedures"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-identifier-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-identifier-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/identifier-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1937
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/identifier-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/identifier-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/identifier-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/identifier-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/v2-0203)"
            },
            "expression": [
              "CodeSystem/identifier-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4335
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/identifier-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/identifier-type vs http://hl7.org/fhir/identifier-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-identifier-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-identifier-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-identifier-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/identifier-use: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1478
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/identifier-use: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3409
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/identifier-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3409
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/identifier-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/identifier-use vs http://hl7.org/fhir/identifier-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-identifier-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-identity-assuranceLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-identity-assuranceLevel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1438
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/identity-assuranceLevel: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1409
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/identity-assuranceLevel: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/identity-assuranceLevel: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3279
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/identity-assuranceLevel: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/identity-assuranceLevel vs http://hl7.org/fhir/identity-assuranceLevel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-identity-assuranceLevel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-immunization-origin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-origin",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/immunization-origin: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1555
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/immunization-origin: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "CodeSystem/immunization-origin: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/immunization-origin has an 'all system' value set of http://hl7.org/fhir/ValueSet/immunization-origin|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/immunization-origin)"
            },
            "expression": [
              "CodeSystem/immunization-origin: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3852
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/immunization-origin: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/immunization-origin vs http://hl7.org/fhir/immunization-origin"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-immunization-origin"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-immunization-recommendation-date-criterion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-recommendation-date-criterion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/immunization-recommendation-date-criterion: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1693
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/immunization-recommendation-date-criterion: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "CodeSystem/immunization-recommendation-date-criterion: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/immunization-recommendation-date-criterion has an 'all system' value set of http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion|4.3.0, but the value set doesn't have a matching system (http://loinc.org)"
            },
            "expression": [
              "CodeSystem/immunization-recommendation-date-criterion: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3804
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/immunization-recommendation-date-criterion: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/immunization-recommendation-date-criterion vs http://hl7.org/fhir/immunization-recommendation-date-criterion"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-immunization-recommendation-date-criterion"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-immunization-recommendation-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-recommendation-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/immunization-recommendation-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1112
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/immunization-recommendation-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "CodeSystem/immunization-recommendation-status: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/immunization-recommendation-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/immunization-recommendation-status|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/immunization-recommendation-status)"
            },
            "expression": [
              "CodeSystem/immunization-recommendation-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2975
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/immunization-recommendation-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/immunization-recommendation-status vs http://hl7.org/fhir/immunization-recommendation-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-immunization-recommendation-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-implant-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-implant-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/implant-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1323
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/implant-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2645
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/implant-status'"
            },
            "expression": [
              "CodeSystem/implant-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3096
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/implant-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3096
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/implant-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/implant-status vs http://hl7.org/fhir/implant-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-implant-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-intervention",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-intervention",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/intervention: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 869
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/intervention: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/intervention: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2363
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/intervention: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/intervention vs http://hl7.org/fhir/intervention"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-intervention"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-iso-21089-lifecycle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-iso-21089-lifecycle",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/iso-21089-lifecycle: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7468
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/iso-21089-lifecycle: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/iso-21089-lifecycle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14582
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/iso-21089-lifecycle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/iso-21089-lifecycle vs http://hl7.org/fhir/iso-21089-lifecycle"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-iso-21089-lifecycle"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-issue-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-issue-severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/issue-severity: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1468
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/issue-severity: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/issue-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3381
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/issue-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/issue-severity vs http://hl7.org/fhir/issue-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-issue-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-issue-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-issue-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7752
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/issue-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7723
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/issue-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13775
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/issue-type: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/issue-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13775
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/issue-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/issue-type vs http://hl7.org/fhir/issue-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-issue-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-item-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-item-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/item-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5595
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/item-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9898
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/item-type: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/item-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9898
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/item-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/item-type vs http://hl7.org/fhir/item-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-item-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-library-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-library-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/library-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1476
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/library-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/library-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/library-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/library-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/library-type)"
            },
            "expression": [
              "CodeSystem/library-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3386
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/library-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/library-type vs http://hl7.org/fhir/library-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-library-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-link-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-link-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2269
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/link-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2240
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/link-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/link-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5049
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/link-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/link-type vs http://hl7.org/fhir/link-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-link-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-linkage-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-linkage-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/linkage-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1477
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/linkage-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/linkage-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3492
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/linkage-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/linkage-type vs http://hl7.org/fhir/linkage-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-linkage-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-list-empty-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-empty-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/list-empty-reason: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2611
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/list-empty-reason: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/list-empty-reason: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/list-empty-reason has an 'all system' value set of http://hl7.org/fhir/ValueSet/list-empty-reason|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/list-empty-reason)"
            },
            "expression": [
              "CodeSystem/list-empty-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5640
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/list-empty-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/list-empty-reason vs http://hl7.org/fhir/list-empty-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-list-empty-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-list-example-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-example-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/list-example-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2387
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/list-example-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/list-example-codes: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/list-example-use-codes has an 'all system' value set of http://hl7.org/fhir/ValueSet/list-example-codes|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/list-example-use-codes)"
            },
            "expression": [
              "CodeSystem/list-example-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4869
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/list-example-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/list-example-codes vs http://hl7.org/fhir/list-example-use-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-list-example-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-list-item-flag",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-item-flag",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/list-item-flag: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2692
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/list-item-flag: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6962
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/list-item-flag: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/list-item-flag vs urn:oid:1.2.36.1.2001.1001.101.104.16592"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-list-item-flag"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-list-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/list-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1243
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/list-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/list-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3021
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/list-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/list-mode vs http://hl7.org/fhir/list-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-list-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-list-order",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-order",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/list-order: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2495
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/list-order: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/list-order: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/list-order has an 'all system' value set of http://hl7.org/fhir/ValueSet/list-order|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/list-order)"
            },
            "expression": [
              "CodeSystem/list-order: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5235
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/list-order: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/list-order vs http://hl7.org/fhir/list-order"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-list-order"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-list-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/list-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1227
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/list-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/list-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2942
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/list-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/list-status vs http://hl7.org/fhir/list-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-list-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-location-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-location-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/location-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1171
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/location-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2970
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/location-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2970
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/location-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/location-mode vs http://hl7.org/fhir/location-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-location-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-location-physical-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-location-physical-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/location-physical-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/location-physical-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/location-physical-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/location-physical-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/location-physical-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/location-physical-type)"
            },
            "expression": [
              "CodeSystem/location-physical-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7238
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/location-physical-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/location-physical-type vs http://hl7.org/fhir/location-physical-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-location-physical-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-location-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-location-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/location-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/location-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/location-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2713
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/location-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/location-status vs http://hl7.org/fhir/location-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-location-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-map-context-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-context-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/map-context-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/map-context-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-context-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2445
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/map-context-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/map-context-type vs http://hl7.org/fhir/map-context-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-map-context-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-map-group-type-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-group-type-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/map-group-type-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1291
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/map-group-type-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-group-type-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3113
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/map-group-type-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/map-group-type-mode vs http://hl7.org/fhir/map-group-type-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-map-group-type-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-map-input-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-input-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1008
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/map-input-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/map-input-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-input-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2523
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/map-input-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/map-input-mode vs http://hl7.org/fhir/map-input-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-map-input-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-map-model-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-model-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/map-model-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1596
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/map-model-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-model-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3650
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/map-model-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/map-model-mode vs http://hl7.org/fhir/map-model-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-map-model-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-map-source-list-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-source-list-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/map-source-list-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1531
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/map-source-list-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-source-list-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3405
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/map-source-list-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/map-source-list-mode vs http://hl7.org/fhir/map-source-list-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-map-source-list-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-map-target-list-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-target-list-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/map-target-list-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1692
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/map-target-list-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-target-list-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3807
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/map-target-list-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/map-target-list-mode vs http://hl7.org/fhir/map-target-list-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-map-target-list-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-map-transform",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-transform",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/map-transform: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4128
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/map-transform: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7823
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-transform: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7823
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/map-transform: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/map-transform vs http://hl7.org/fhir/map-transform"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-map-transform"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-marital-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-marital-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/marital-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 827
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/marital-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/marital-status: 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_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/marital-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/marital-status|4.3.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/marital-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2362
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/marital-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/marital-status vs http://hl7.org/fhir/marital-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-marital-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-match-grade",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-match-grade",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/match-grade: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1697
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/match-grade: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/match-grade: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3897
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/match-grade: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/match-grade vs http://hl7.org/fhir/match-grade"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-match-grade"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-measure-data-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-data-usage",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/measure-data-usage: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1165
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/measure-data-usage: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "CodeSystem/measure-data-usage: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/measure-data-usage has an 'all system' value set of http://hl7.org/fhir/ValueSet/measure-data-usage|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/measure-data-usage)"
            },
            "expression": [
              "CodeSystem/measure-data-usage: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2893
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/measure-data-usage: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/measure-data-usage vs http://hl7.org/fhir/measure-data-usage"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-measure-data-usage"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-measure-population",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-population",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4724
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/measure-population: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4695
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/measure-population: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "CodeSystem/measure-population: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/measure-population has an 'all system' value set of http://hl7.org/fhir/ValueSet/measure-population|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/measure-population)"
            },
            "expression": [
              "CodeSystem/measure-population: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9364
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/measure-population: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/measure-population vs http://hl7.org/fhir/measure-population"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-measure-population"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-measure-report-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-report-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/measure-report-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/measure-report-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "CodeSystem/measure-report-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2832
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/measure-report-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/measure-report-status vs http://hl7.org/fhir/measure-report-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-measure-report-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-measure-report-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-report-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/measure-report-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1386
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/measure-report-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "CodeSystem/measure-report-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3245
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/measure-report-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/measure-report-type vs http://hl7.org/fhir/measure-report-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-measure-report-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-measure-scoring",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-scoring",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/measure-scoring: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1337
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/measure-scoring: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "CodeSystem/measure-scoring: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/measure-scoring has an 'all system' value set of http://hl7.org/fhir/ValueSet/measure-scoring|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/measure-scoring)"
            },
            "expression": [
              "CodeSystem/measure-scoring: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3100
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/measure-scoring: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/measure-scoring vs http://hl7.org/fhir/measure-scoring"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-measure-scoring"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-measure-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/measure-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1905
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/measure-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "CodeSystem/measure-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/measure-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/measure-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/measure-type)"
            },
            "expression": [
              "CodeSystem/measure-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4222
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/measure-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/measure-type vs http://hl7.org/fhir/measure-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-measure-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-measurement-principle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measurement-principle",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2703
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/measurement-principle: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2674
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/measurement-principle: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/measurement-principle'"
            },
            "expression": [
              "CodeSystem/measurement-principle: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/measurement-principle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5252
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/measurement-principle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/measurement-principle vs http://hl7.org/fhir/measurement-principle"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-measurement-principle"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-admin-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-admin-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-admin-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1429
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-admin-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3329
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-admin-category: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/medication-admin-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/medication-admin-category|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/medication-admin-category)"
            },
            "expression": [
              "CodeSystem/medication-admin-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3329
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-admin-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-admin-category vs http://hl7.org/fhir/medication-admin-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-admin-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-admin-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-admin-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-admin-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2162
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-admin-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-admin-status: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/medication-admin-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/medication-admin-status|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/medication-admin-status)"
            },
            "expression": [
              "CodeSystem/medication-admin-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4556
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-admin-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-admin-status vs http://hl7.org/fhir/medication-admin-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-admin-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-dispense-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-dispense-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-dispense-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1576
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-dispense-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-dispense-category'"
            },
            "expression": [
              "CodeSystem/medication-dispense-category: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-dispense-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3603
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-dispense-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-dispense-category vs http://hl7.org/fhir/medication-dispense-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-dispense-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-dispense-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-dispense-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2158
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-dispense-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2129
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-dispense-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-dispense-status'"
            },
            "expression": [
              "CodeSystem/medication-dispense-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-dispense-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4439
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-dispense-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-dispense-status vs http://hl7.org/fhir/medication-dispense-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-dispense-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-package-form",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-package-form",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-package-form: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2415
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-package-form: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3756
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-package-form'"
            },
            "expression": [
              "CodeSystem/medication-package-form: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-package-form: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4943
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-package-form: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-package-form vs http://hl7.org/fhir/medication-package-form"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-package-form"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-request-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-request-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-request-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1559
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-request-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-request-category'"
            },
            "expression": [
              "CodeSystem/medication-request-category: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-request-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3582
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-request-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-request-category vs http://hl7.org/fhir/medication-request-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-request-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-request-intent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-request-intent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-request-intent: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1664
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-request-intent: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-request-intent'"
            },
            "expression": [
              "CodeSystem/medication-request-intent: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-request-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3660
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-request-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-request-intent vs http://hl7.org/fhir/medication-request-intent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-request-intent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-request-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-request-priority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-request-priority: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1349
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-request-priority: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-request-priority'"
            },
            "expression": [
              "CodeSystem/medication-request-priority: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-request-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3074
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-request-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-request-priority vs http://hl7.org/fhir/medication-request-priority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-request-priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-request-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-request-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-request-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2491
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-request-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-request-status'"
            },
            "expression": [
              "CodeSystem/medication-request-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-request-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5077
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-request-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-request-status vs http://hl7.org/fhir/medication-request-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-request-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-statement-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-statement-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-statement-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1868
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-statement-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-statement-category: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/medication-statement-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/medication-statement-category|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/medication-statement-category)"
            },
            "expression": [
              "CodeSystem/medication-statement-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4136
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-statement-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-statement-category vs http://hl7.org/fhir/medication-statement-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-statement-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-statement-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-statement-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-statement-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1930
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-statement-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-statement-status: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/medication-statement-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/medication-statement-status|4.3.0, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/medication-statement-status)"
            },
            "expression": [
              "CodeSystem/medication-statement-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4059
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-statement-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-statement-status vs http://hl7.org/fhir/medication-statement-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-statement-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-statement-taken",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-statement-taken",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-statement-taken: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1368
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-statement-taken: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-statement-taken'"
            },
            "expression": [
              "CodeSystem/medication-statement-taken: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-statement-taken: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3157
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-statement-taken: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-statement-taken vs http://hl7.org/fhir/medication-statement-taken"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-statement-taken"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-medication-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/medication-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/medication-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2791
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-status: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/medication-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/medication-status|4.3.0, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/medication-status)"
            },
            "expression": [
              "CodeSystem/medication-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2791
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/medication-status vs http://hl7.org/fhir/medication-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-medication-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-message-events",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-events",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/message-events: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3471
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/message-events: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "CodeSystem/message-events: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7107
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/message-events: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/message-events vs http://hl7.org/fhir/message-events"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-message-events"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-message-reason-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-reason-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/message-reason-encounter: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1720
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/message-reason-encounter: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "CodeSystem/message-reason-encounter: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/message-reasons-encounter has an 'all system' value set of http://hl7.org/fhir/ValueSet/message-reason-encounter|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/message-reasons-encounter)"
            },
            "expression": [
              "CodeSystem/message-reason-encounter: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/message-reason-encounter: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/message-reason-encounter vs http://hl7.org/fhir/message-reasons-encounter"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-message-reason-encounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-message-significance-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-significance-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/message-significance-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1468
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/message-significance-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "CodeSystem/message-significance-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3447
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/message-significance-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/message-significance-category vs http://hl7.org/fhir/message-significance-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-message-significance-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-message-transport",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-transport",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/message-transport: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1235
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/message-transport: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/message-transport: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/message-transport has an 'all system' value set of http://hl7.org/fhir/ValueSet/message-transport|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/message-transport)"
            },
            "expression": [
              "CodeSystem/message-transport: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2966
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/message-transport: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/message-transport vs http://hl7.org/fhir/message-transport"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-message-transport"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-messageheader-response-request",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-messageheader-response-request",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/messageheader-response-request: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1471
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/messageheader-response-request: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3377
              },
              {
                "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/CodeSystem#csd-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-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/CodeSystem)"
            },
            "expression": [
              "CodeSystem/messageheader-response-request: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3377
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/messageheader-response-request: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3377
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/messageheader-response-request: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/messageheader-response-request vs http://hl7.org/fhir/messageheader-response-request"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-messageheader-response-request"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-metric-calibration-state",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-metric-calibration-state",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/metric-calibration-state: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1441
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/metric-calibration-state: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/metric-calibration-state: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3253
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/metric-calibration-state: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/metric-calibration-state vs http://hl7.org/fhir/metric-calibration-state"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-metric-calibration-state"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-metric-calibration-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-metric-calibration-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/metric-calibration-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1349
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/metric-calibration-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/metric-calibration-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3099
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/metric-calibration-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/metric-calibration-type vs http://hl7.org/fhir/metric-calibration-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-metric-calibration-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-metric-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-metric-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/metric-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1450
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/metric-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/metric-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3334
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/metric-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/metric-category vs http://hl7.org/fhir/metric-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-metric-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-metric-color",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-metric-color",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1854
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/metric-color: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1825
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/metric-color: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/metric-color: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3892
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/metric-color: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/metric-color vs http://hl7.org/fhir/metric-color"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-metric-color"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-metric-operational-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-metric-operational-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/metric-operational-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1429
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/metric-operational-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/metric-operational-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3259
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/metric-operational-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/metric-operational-status vs http://hl7.org/fhir/metric-operational-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-metric-operational-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-missing-tooth-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-missing-tooth-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/missing-tooth-reason: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/missing-tooth-reason: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/missing-tooth-reason: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/missingtoothreason has an 'all system' value set of http://hl7.org/fhir/ValueSet/missing-tooth-reason|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/missingtoothreason)"
            },
            "expression": [
              "CodeSystem/missing-tooth-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2741
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/missing-tooth-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/missing-tooth-reason vs http://hl7.org/fhir/missingtoothreason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-missing-tooth-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-name-assembly-order",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-name-assembly-order",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/name-assembly-order: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/name-assembly-order: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/name-assembly-order: 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_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/name-assembly-order has an 'all system' value set of http://hl7.org/fhir/ValueSet/name-assembly-order|5.2.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/name-assembly-order: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2723
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/name-assembly-order: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2723
              },
              {
                "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/name-assembly-order: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/name-assembly-order vs http://hl7.org/fhir/name-assembly-order"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-name-assembly-order"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-name-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-name-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2555
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/name-use: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2526
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/name-use: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/name-use: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/name-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5217
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/name-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/name-use vs http://hl7.org/fhir/name-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-name-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-namingsystem-identifier-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-namingsystem-identifier-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/namingsystem-identifier-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1522
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/namingsystem-identifier-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/namingsystem-identifier-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3440
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/namingsystem-identifier-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/namingsystem-identifier-type vs http://hl7.org/fhir/namingsystem-identifier-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-namingsystem-identifier-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-namingsystem-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-namingsystem-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/namingsystem-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1336
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/namingsystem-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/namingsystem-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3159
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/namingsystem-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/namingsystem-type vs http://hl7.org/fhir/namingsystem-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-namingsystem-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-narrative-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-narrative-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/narrative-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1708
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/narrative-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/narrative-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3821
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/narrative-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/narrative-status vs http://hl7.org/fhir/narrative-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-narrative-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-network-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-network-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/network-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1353
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/network-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/network-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3142
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/network-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/network-type vs http://hl7.org/fhir/network-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-network-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-nhin-purposeofuse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-nhin-purposeofuse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9670
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/nhin-purposeofuse: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/nhin-purposeofuse vs http://healthit.gov/nhin/purposeofuse"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-nhin-purposeofuse"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-note-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-note-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/note-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1046
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/note-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/note-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2608
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/note-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/note-type vs http://hl7.org/fhir/note-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-note-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-nutrition-request-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-nutrition-request-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/nutrition-request-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2485
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/nutrition-request-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/nutrition-request-status'"
            },
            "expression": [
              "CodeSystem/nutrition-request-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/nutrition-request-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5005
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/nutrition-request-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/nutrition-request-status vs http://hl7.org/fhir/nutrition-request-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-nutrition-request-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-object-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-object-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/object-role: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6521
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/object-role: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/object-role: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/object-role has an 'all system' value set of http://hl7.org/fhir/ValueSet/object-role|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/object-role)"
            },
            "expression": [
              "CodeSystem/object-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12418
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/object-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/object-role vs http://hl7.org/fhir/object-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-object-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-observation-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3669
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/observation-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3640
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/observation-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/observation-category: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/observation-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/observation-category|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/observation-category)"
            },
            "expression": [
              "CodeSystem/observation-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7392
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/observation-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/observation-category vs http://hl7.org/fhir/observation-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-observation-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-observation-relationshiptypes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-relationshiptypes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/observation-relationshiptypes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2603
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/observation-relationshiptypes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/observation-relationshiptypes'"
            },
            "expression": [
              "CodeSystem/observation-relationshiptypes: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/observation-relationshiptypes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5376
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/observation-relationshiptypes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/observation-relationshiptypes vs http://hl7.org/fhir/observation-relationshiptypes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-observation-relationshiptypes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-observation-statistics",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-statistics",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/observation-statistics: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7262
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/observation-statistics: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13092
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/observation-statistics: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13092
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/observation-statistics: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/observation-statistics vs http://hl7.org/fhir/observation-statistics"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-observation-statistics"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-observation-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/observation-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2949
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/observation-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5879
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/observation-status: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/observation-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5879
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/observation-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/observation-status vs http://hl7.org/fhir/observation-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-observation-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-operation-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-operation-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1016
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/operation-kind: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 987
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/operation-kind: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/operation-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2553
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/operation-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/operation-kind vs http://hl7.org/fhir/operation-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-operation-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-operation-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-operation-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/operation-outcome: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28401
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/operation-outcome: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/operation-outcome: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/operation-outcome has an 'all system' value set of http://hl7.org/fhir/ValueSet/operation-outcome, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/operation-outcome)"
            },
            "expression": [
              "CodeSystem/operation-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55499
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/operation-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55499
              },
              {
                "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/operation-outcome: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/operation-outcome vs http://hl7.org/fhir/operation-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-operation-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-operation-parameter-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-operation-parameter-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/operation-parameter-use: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/operation-parameter-use: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/operation-parameter-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2499
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/operation-parameter-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/operation-parameter-use vs http://hl7.org/fhir/operation-parameter-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-operation-parameter-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-operational-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-operational-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/operational-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1800
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/operational-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/operational-status'"
            },
            "expression": [
              "CodeSystem/operational-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/operational-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3856
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/operational-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/operational-status vs http://hl7.org/fhir/operational-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-operational-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-oral-prosthodontic-material",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-oral-prosthodontic-material",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/oral-prosthodontic-material: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1269
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/oral-prosthodontic-material: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/oral-prosthodontic-material: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2990
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/oral-prosthodontic-material: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/oral-prosthodontic-material vs http://hl7.org/fhir/ex-oralprostho"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-oral-prosthodontic-material"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-organization-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-organization-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/organization-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3021
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/organization-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6093
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/organization-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/organization-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/organization-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/organization-type)"
            },
            "expression": [
              "CodeSystem/organization-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6093
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/organization-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/organization-type vs http://hl7.org/fhir/organization-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-organization-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-parameter-group",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-parameter-group",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/parameter-group: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2394
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/parameter-group: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/parameter-group: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/parameter-group has an 'all system' value set of http://hl7.org/fhir/ValueSet/parameter-group, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/parameter-group)"
            },
            "expression": [
              "CodeSystem/parameter-group: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4896
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/parameter-group: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/parameter-group vs http://hl7.org/fhir/parameter-group"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-parameter-group"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-participantrequired",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-participantrequired",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/participantrequired: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1388
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/participantrequired: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/participantrequired: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3260
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/participantrequired: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/participantrequired vs http://hl7.org/fhir/participantrequired"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-participantrequired"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-participationstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-participationstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/participationstatus: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1655
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/participationstatus: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/participationstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3716
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/participationstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/participationstatus vs http://hl7.org/fhir/participationstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-participationstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-payeetype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payeetype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/payeetype: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/payeetype: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/payeetype: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/payeetype has an 'all system' value set of http://hl7.org/fhir/ValueSet/payeetype|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/payeetype)"
            },
            "expression": [
              "CodeSystem/payeetype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2901
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/payeetype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/payeetype vs http://hl7.org/fhir/payeetype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-payeetype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-payment-adjustment-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payment-adjustment-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/payment-adjustment-reason: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1006
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/payment-adjustment-reason: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2613
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/payment-adjustment-reason: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/payment-adjustment-reason has an 'all system' value set of http://hl7.org/fhir/ValueSet/payment-adjustment-reason|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/payment-adjustment-reason)"
            },
            "expression": [
              "CodeSystem/payment-adjustment-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2613
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/payment-adjustment-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/payment-adjustment-reason vs http://hl7.org/fhir/payment-adjustment-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-payment-adjustment-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-payment-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payment-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/payment-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/payment-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/payment-status: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/paymentstatus has an 'all system' value set of http://hl7.org/fhir/ValueSet/payment-status|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/paymentstatus)"
            },
            "expression": [
              "CodeSystem/payment-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2563
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/payment-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/payment-status vs http://hl7.org/fhir/paymentstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-payment-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-payment-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payment-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/payment-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1158
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/payment-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/payment-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/payment-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/payment-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/payment-type)"
            },
            "expression": [
              "CodeSystem/payment-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2878
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/payment-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/payment-type vs http://hl7.org/fhir/payment-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-payment-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-plan-definition-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-plan-definition-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/plan-definition-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1848
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/plan-definition-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4158
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/plan-definition-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/plan-definition-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/plan-definition-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/plan-definition-type)"
            },
            "expression": [
              "CodeSystem/plan-definition-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4158
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/plan-definition-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/plan-definition-type vs http://hl7.org/fhir/plan-definition-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-plan-definition-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-policyholder-relationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-policyholder-relationship",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/policyholder-relationship: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1776
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/policyholder-relationship: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3244
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/policyholder-relationship'"
            },
            "expression": [
              "CodeSystem/policyholder-relationship: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/policyholder-relationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_URL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the contact url should be 'http://www.hl7.org/Special/committees/fm' but it was not found"
            },
            "expression": [
              "CodeSystem/policyholder-relationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3920
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/policyholder-relationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/policyholder-relationship vs http://hl7.org/fhir/policyholder-relationship"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-policyholder-relationship"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-practitioner-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-practitioner-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/practitioner-role: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1721
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/practitioner-role: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/practitioner-role: 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_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/practitioner-role has an 'all system' value set of http://hl7.org/fhir/ValueSet/practitioner-role, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/practitioner-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3789
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/practitioner-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/practitioner-role vs http://hl7.org/fhir/practitioner-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-practitioner-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-practitioner-specialty",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-practitioner-specialty",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/practitioner-specialty: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1255
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/practitioner-specialty: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/practitioner-specialty: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2878
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/practitioner-specialty: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2878
              },
              {
                "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/practitioner-specialty: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/practitioner-specialty vs http://hl7.org/fhir/practitioner-specialty"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-practitioner-specialty"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-procedure-progress-status-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-procedure-progress-status-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/procedure-progress-status-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1885
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/procedure-progress-status-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/procedure-progress-status-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4083
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/procedure-progress-status-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/procedure-progress-status-codes vs http://hl7.org/fhir/procedure-progress-status-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-procedure-progress-status-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-process-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-process-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/process-outcome: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1154
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/process-outcome: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/process-outcome'"
            },
            "expression": [
              "CodeSystem/process-outcome: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/process-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2857
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/process-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/process-outcome vs http://hl7.org/fhir/processoutcomecodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-process-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-process-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-process-priority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/process-priority: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1070
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/process-priority: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/process-priority: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/processpriority has an 'all system' value set of http://hl7.org/fhir/ValueSet/process-priority|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/processpriority)"
            },
            "expression": [
              "CodeSystem/process-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2702
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/process-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/process-priority vs http://hl7.org/fhir/processpriority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-process-priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-property-representation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-property-representation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/property-representation: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1609
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/property-representation: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/property-representation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3535
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/property-representation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/property-representation vs http://hl7.org/fhir/property-representation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-property-representation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-provenance-entity-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-provenance-entity-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/provenance-entity-role: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2132
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/provenance-entity-role: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/provenance-entity-role: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/provenance-entity-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4421
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/provenance-entity-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/provenance-entity-role vs http://hl7.org/fhir/provenance-entity-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-provenance-entity-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-provider-qualification",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-provider-qualification",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/provider-qualification: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1136
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/provider-qualification: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/provider-qualification: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-providerqualification has an 'all system' value set of http://hl7.org/fhir/ValueSet/provider-qualification|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-providerqualification)"
            },
            "expression": [
              "CodeSystem/provider-qualification: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2802
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/provider-qualification: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/provider-qualification vs http://hl7.org/fhir/ex-providerqualification"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-provider-qualification"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-publication-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-publication-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/publication-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1980
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/publication-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/publication-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/publication-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/publication-status vs http://hl7.org/fhir/publication-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-publication-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-quality-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-quality-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/quality-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/quality-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "CodeSystem/quality-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2588
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/quality-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/quality-type vs http://hl7.org/fhir/quality-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-quality-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-quantity-comparator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-quantity-comparator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/quantity-comparator: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1382
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/quantity-comparator: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/quantity-comparator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3183
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/quantity-comparator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/quantity-comparator vs http://hl7.org/fhir/quantity-comparator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-quantity-comparator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-question-max-occurs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-question-max-occurs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/question-max-occurs: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 826
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/question-max-occurs: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/question-max-occurs: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/question-max-occurs has an 'all system' value set of http://hl7.org/fhir/ValueSet/question-max-occurs, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/question-max-occurs)"
            },
            "expression": [
              "CodeSystem/question-max-occurs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2264
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/question-max-occurs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/question-max-occurs vs http://hl7.org/fhir/question-max-occurs"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-question-max-occurs"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-questionnaire-answers-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-answers-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/questionnaire-answers-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2032
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/questionnaire-answers-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/questionnaire-answers-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4331
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/questionnaire-answers-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/questionnaire-answers-status vs http://hl7.org/fhir/questionnaire-answers-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-questionnaire-answers-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-questionnaire-display-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-display-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/questionnaire-display-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1278
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/questionnaire-display-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/questionnaire-display-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3078
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/questionnaire-display-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/questionnaire-display-category vs http://hl7.org/fhir/questionnaire-display-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-questionnaire-display-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-questionnaire-item-control",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-item-control",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/questionnaire-item-control: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7392
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/questionnaire-item-control: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/questionnaire-item-control: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13176
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/questionnaire-item-control: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/questionnaire-item-control: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/questionnaire-item-control vs http://hl7.org/fhir/questionnaire-item-control"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-questionnaire-item-control"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-questionnaire-usage-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-usage-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/questionnaire-usage-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1878
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/questionnaire-usage-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/questionnaire-usage-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4081
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/questionnaire-usage-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/questionnaire-usage-mode vs http://hl7.org/fhir/questionnaire-usage-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-questionnaire-usage-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-reaction-event-certainty",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reaction-event-certainty",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1756
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/reaction-event-certainty: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1727
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/reaction-event-certainty: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/reaction-event-certainty: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3923
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/reaction-event-certainty: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/reaction-event-certainty vs http://hl7.org/fhir/reaction-event-certainty"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-reaction-event-certainty"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-reaction-event-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reaction-event-severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/reaction-event-severity: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1167
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/reaction-event-severity: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/reaction-event-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2874
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/reaction-event-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/reaction-event-severity vs http://hl7.org/fhir/reaction-event-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-reaction-event-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-reason-medication-given-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reason-medication-given-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/reason-medication-given-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1203
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/reason-medication-given-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/reason-medication-given-codes: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/reason-medication-given has an 'all system' value set of http://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/reason-medication-given)"
            },
            "expression": [
              "CodeSystem/reason-medication-given-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3007
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/reason-medication-given-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/reason-medication-given-codes vs http://hl7.org/fhir/reason-medication-given"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-reason-medication-given-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-reason-medication-not-given-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reason-medication-not-given-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/reason-medication-not-given-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1417
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/reason-medication-not-given-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/reason-medication-not-given-codes: 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_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/reason-medication-not-given has an 'all system' value set of http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes|4.3.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/reason-medication-not-given-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3603
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/reason-medication-not-given-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/reason-medication-not-given-codes vs http://hl7.org/fhir/reason-medication-not-given"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-reason-medication-not-given-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-reference-handling-policy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reference-handling-policy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/reference-handling-policy: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2032
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/reference-handling-policy: CodeSystem.extension[0].url"
            ]
          },
          {
            "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/reference-handling-policy: 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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/reference-handling-policy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/reference-handling-policy vs http://hl7.org/fhir/reference-handling-policy"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-reference-handling-policy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-reference-version-rules",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reference-version-rules",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1295
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/reference-version-rules: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1266
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/reference-version-rules: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/reference-version-rules: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3045
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/reference-version-rules: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/reference-version-rules vs http://hl7.org/fhir/reference-version-rules"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-reference-version-rules"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-referencerange-meaning",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-referencerange-meaning",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/referencerange-meaning: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4155
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/referencerange-meaning: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/referencerange-meaning: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/referencerange-meaning has an 'all system' value set of http://hl7.org/fhir/ValueSet/referencerange-meaning|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/referencerange-meaning)"
            },
            "expression": [
              "CodeSystem/referencerange-meaning: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7650
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/referencerange-meaning: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/referencerange-meaning vs http://hl7.org/fhir/referencerange-meaning"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-referencerange-meaning"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-related-artifact-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-related-artifact-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/related-artifact-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3135
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/related-artifact-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/related-artifact-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6357
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/related-artifact-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/related-artifact-type vs http://hl7.org/fhir/related-artifact-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-related-artifact-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-related-claim-relationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-related-claim-relationship",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1145
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/related-claim-relationship: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/related-claim-relationship: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/related-claim-relationship: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-relatedclaimrelationship has an 'all system' value set of http://hl7.org/fhir/ValueSet/related-claim-relationship|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship)"
            },
            "expression": [
              "CodeSystem/related-claim-relationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2830
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/related-claim-relationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/related-claim-relationship vs http://hl7.org/fhir/ex-relatedclaimrelationship"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-related-claim-relationship"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-relationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-relationship",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/relationship: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1492
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/relationship: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/relationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3488
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/relationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/relationship vs http://hl7.org/fhir/relationship"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-relationship"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-remittance-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-remittance-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/remittance-outcome: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1230
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/remittance-outcome: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/remittance-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3001
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/remittance-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/remittance-outcome vs http://hl7.org/fhir/remittance-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-remittance-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-report-action-result-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-report-action-result-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/report-action-result-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1498
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/report-action-result-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/report-action-result-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3288
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/report-action-result-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/report-action-result-codes vs http://hl7.org/fhir/report-action-result-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-report-action-result-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-report-participant-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-report-participant-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/report-participant-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1126
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/report-participant-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/report-participant-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2693
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/report-participant-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/report-participant-type vs http://hl7.org/fhir/report-participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-report-participant-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-report-result-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-report-result-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/report-result-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/report-result-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2834
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/report-result-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2834
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/report-result-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/report-result-codes vs http://hl7.org/fhir/report-result-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-report-result-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-report-status-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-report-status-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/report-status-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1555
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/report-status-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/report-status-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3429
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/report-status-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/report-status-codes vs http://hl7.org/fhir/report-status-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-report-status-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-repository-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-repository-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/repository-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1992
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/repository-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "CodeSystem/repository-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4346
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/repository-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/repository-type vs http://hl7.org/fhir/repository-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-repository-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-request-intent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-request-intent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/request-intent: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3227
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/request-intent: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/request-intent: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/request-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6326
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/request-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/request-intent vs http://hl7.org/fhir/request-intent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-request-intent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-request-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-request-priority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/request-priority: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1383
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/request-priority: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/request-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3232
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/request-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/request-priority vs http://hl7.org/fhir/request-priority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-request-priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-request-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-request-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2486
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/request-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2457
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/request-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/request-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5130
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/request-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/request-status vs http://hl7.org/fhir/request-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-request-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-research-study-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/research-study-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2006
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/research-study-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/research-study-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4297
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/research-study-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/research-study-status vs http://hl7.org/fhir/research-study-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-research-study-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-research-subject-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-subject-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/research-subject-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2100
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/research-subject-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4478
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/research-subject-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4478
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/research-subject-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/research-subject-status vs http://hl7.org/fhir/research-subject-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-research-subject-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-resource-aggregation-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-aggregation-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1495
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/resource-aggregation-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1466
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/resource-aggregation-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/resource-aggregation-mode: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/resource-aggregation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3291
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/resource-aggregation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/resource-aggregation-mode vs http://hl7.org/fhir/resource-aggregation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-resource-aggregation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-resource-slicing-rules",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-slicing-rules",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/resource-slicing-rules: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1404
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/resource-slicing-rules: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/resource-slicing-rules: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3277
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/resource-slicing-rules: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/resource-slicing-rules vs http://hl7.org/fhir/resource-slicing-rules"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-resource-slicing-rules"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-resource-type-link",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-type-link",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/resource-type-link: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1279
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/resource-type-link: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/resource-type-link: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/resource-type-link has an 'all system' value set of http://hl7.org/fhir/ValueSet/resource-type-link, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/resource-type-link)"
            },
            "expression": [
              "CodeSystem/resource-type-link: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2933
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/resource-type-link: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/resource-type-link vs http://hl7.org/fhir/resource-type-link"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-resource-type-link"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-resource-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/resource-types: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35694
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/resource-types: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/resource-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66339
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/resource-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/resource-types vs http://hl7.org/fhir/resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-resource-validation-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-validation-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1700
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/resource-validation-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1671
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/resource-validation-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/resource-validation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3805
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/resource-validation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/resource-validation-mode vs http://hl7.org/fhir/resource-validation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-resource-validation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-response-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-response-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/response-code: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1426
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/response-code: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "CodeSystem/response-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3360
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/response-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/response-code vs http://hl7.org/fhir/response-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-response-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-restful-capability-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-restful-capability-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/restful-capability-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/restful-capability-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/restful-capability-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2605
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/restful-capability-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/restful-capability-mode vs http://hl7.org/fhir/restful-capability-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-restful-capability-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-restful-interaction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-restful-interaction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/restful-interaction: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3792
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/restful-interaction: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/restful-interaction'"
            },
            "expression": [
              "CodeSystem/restful-interaction: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/restful-interaction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7188
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/restful-interaction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7188
              },
              {
                "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/restful-interaction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/restful-interaction vs http://hl7.org/fhir/restful-interaction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-restful-interaction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-restful-security-service",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-restful-security-service",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/restful-security-service: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1657
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/restful-security-service: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/restful-security-service: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/restful-security-service has an 'all system' value set of http://hl7.org/fhir/ValueSet/restful-security-service|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/restful-security-service)"
            },
            "expression": [
              "CodeSystem/restful-security-service: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3663
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/restful-security-service: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/restful-security-service vs http://hl7.org/fhir/restful-security-service"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-restful-security-service"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-risk-probability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-risk-probability",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/risk-probability: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1551
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/risk-probability: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/risk-probability: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/risk-probability has an 'all system' value set of http://hl7.org/fhir/ValueSet/risk-probability|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/risk-probability)"
            },
            "expression": [
              "CodeSystem/risk-probability: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3515
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/risk-probability: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/risk-probability vs http://hl7.org/fhir/risk-probability"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-risk-probability"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-search-comparator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-comparator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/search-comparator: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2415
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/search-comparator: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4971
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-comparator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4971
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/search-comparator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/search-comparator vs http://hl7.org/fhir/search-comparator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-search-comparator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-search-entry-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-entry-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/search-entry-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1243
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/search-entry-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-entry-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3040
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/search-entry-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/search-entry-mode vs http://hl7.org/fhir/search-entry-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-search-entry-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-search-modifier-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-modifier-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/search-modifier-code: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3152
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/search-modifier-code: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-modifier-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6309
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/search-modifier-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/search-modifier-code vs http://hl7.org/fhir/search-modifier-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-search-modifier-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-search-param-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-param-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/search-param-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2502
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/search-param-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-param-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5164
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/search-param-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/search-param-type vs http://hl7.org/fhir/search-param-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-search-param-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-search-xpath-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-xpath-usage",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/search-xpath-usage: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1712
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/search-xpath-usage: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-xpath-usage: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3821
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/search-xpath-usage: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/search-xpath-usage vs http://hl7.org/fhir/search-xpath-usage"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-search-xpath-usage"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-sequence-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-sequence-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/sequence-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/sequence-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "CodeSystem/sequence-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2573
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/sequence-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/sequence-type vs http://hl7.org/fhir/sequence-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-sequence-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-service-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/service-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6131
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/service-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/service-category: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/service-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/service-category|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/service-category)"
            },
            "expression": [
              "CodeSystem/service-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10656
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/service-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/service-category vs http://hl7.org/fhir/service-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-service-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-service-modifiers",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-modifiers",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/service-modifiers: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/service-modifiers: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/service-modifiers: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2711
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/service-modifiers: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/service-modifiers vs http://hl7.org/fhir/ex-servicemodifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-service-modifiers"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-service-pharmacy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-pharmacy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/service-pharmacy: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1651
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/service-pharmacy: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/service-pharmacy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3656
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/service-pharmacy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/service-pharmacy vs http://hl7.org/fhir/ex-pharmaservice"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-service-pharmacy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-service-place",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-place",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6302
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/service-place: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6273
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/service-place: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/service-place: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-serviceplace has an 'all system' value set of http://hl7.org/fhir/ValueSet/service-place|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-serviceplace)"
            },
            "expression": [
              "CodeSystem/service-place: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12327
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/service-place: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/service-place vs http://hl7.org/fhir/ex-serviceplace"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-service-place"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-service-product",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-product",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 919
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/service-product: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 890
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/service-product: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/service-product: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2414
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/service-product: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/service-product vs http://hl7.org/fhir/ex-serviceproduct"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-service-product"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-service-provision-conditions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-provision-conditions",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/service-provision-conditions: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1246
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/service-provision-conditions: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/service-provision-conditions: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/service-provision-conditions has an 'all system' value set of http://hl7.org/fhir/ValueSet/service-provision-conditions|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/service-provision-conditions)"
            },
            "expression": [
              "CodeSystem/service-provision-conditions: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2990
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/service-provision-conditions: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/service-provision-conditions vs http://hl7.org/fhir/service-provision-conditions"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-service-provision-conditions"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-service-referral-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-referral-method",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/service-referral-method: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1833
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/service-referral-method: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/service-referral-method: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/service-referral-method has an 'all system' value set of http://hl7.org/fhir/ValueSet/service-referral-method|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/service-referral-method)"
            },
            "expression": [
              "CodeSystem/service-referral-method: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4037
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/service-referral-method: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/service-referral-method vs http://hl7.org/fhir/service-referral-method"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-service-referral-method"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-service-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 83107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/service-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 83078
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/service-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 132236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/service-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/service-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/service-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/service-type)"
            },
            "expression": [
              "CodeSystem/service-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 132236
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/service-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/service-type vs http://hl7.org/fhir/service-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-service-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-service-uscls",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-uscls",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/service-uscls: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3423
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/service-uscls: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/service-uscls: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-USCLS has an 'all system' value set of http://hl7.org/fhir/ValueSet/service-uscls|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-USCLS)"
            },
            "expression": [
              "CodeSystem/service-uscls: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6378
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/service-uscls: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/service-uscls vs http://hl7.org/fhir/ex-USCLS"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-service-uscls"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-signature-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-signature-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/signature-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8444
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/signature-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16471
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/signature-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/signature-type vs urn:iso-astm:E1762-95:2013"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-signature-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-slotstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-slotstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/slotstatus: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1693
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/slotstatus: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/slotstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3766
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/slotstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/slotstatus vs http://hl7.org/fhir/slotstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-slotstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-snomedct",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-snomedct",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14363
              },
              {
                "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/snomedct: 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": 14568
              },
              {
                "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/snomedct: 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": 14705
              },
              {
                "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/snomedct: 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": 14868
              },
              {
                "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/snomedct: 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": 15042
              },
              {
                "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/snomedct: 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": 15188
              },
              {
                "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/snomedct: 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": 15354
              },
              {
                "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/snomedct: 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": 15529
              },
              {
                "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/42752001'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 15609
              },
              {
                "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/47429007'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 15696
              },
              {
                "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/116676008'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 15774
              },
              {
                "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/snomedct: 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": 15866
              },
              {
                "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/118168003'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 15958
              },
              {
                "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/snomedct: 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": 16048
              },
              {
                "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/snomedct: 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": 16132
              },
              {
                "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/snomedct: 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",
                "valueInteger": 16205
              },
              {
                "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/123005000'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[15].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16292
              },
              {
                "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/127489000'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[16].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16380
              },
              {
                "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/131195008'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[17].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16461
              },
              {
                "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/246075003'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[18].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16545
              },
              {
                "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/snomedct: CodeSystem.property[19].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16620
              },
              {
                "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/246093002'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[20].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16694
              },
              {
                "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/246112005'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 16770
              },
              {
                "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/246454002'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 16847
              },
              {
                "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/246456000'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 16922
              },
              {
                "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/246501002'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 17003
              },
              {
                "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/snomedct: CodeSystem.property[25].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17074
              },
              {
                "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/snomedct: CodeSystem.property[26].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17145
              },
              {
                "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/snomedct: CodeSystem.property[27].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17217
              },
              {
                "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/260507000'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[28].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17289
              },
              {
                "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/260686004'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[29].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17363
              },
              {
                "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/260870009'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[30].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17444
              },
              {
                "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/263502005'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[31].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17520
              },
              {
                "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/272741003'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[32].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17606
              },
              {
                "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/363589002'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[33].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17684
              },
              {
                "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/363698007'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[34].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17760
              },
              {
                "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/363699004'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[35].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17843
              },
              {
                "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/363700003'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[36].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17925
              },
              {
                "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/363701004'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[37].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18000
              },
              {
                "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/363702006'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[38].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18076
              },
              {
                "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/363703001'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[39].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18156
              },
              {
                "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/363704007'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[40].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18252
              },
              {
                "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/363705008'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[41].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18337
              },
              {
                "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/363709002'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[42].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18418
              },
              {
                "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/363710007'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[43].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18502
              },
              {
                "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/363713009'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[44].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18578
              },
              {
                "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/363714003'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[45].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18662
              },
              {
                "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/370129005'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[46].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18736
              },
              {
                "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/370130000'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[47].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18820
              },
              {
                "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/370131001'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[48].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18896
              },
              {
                "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/370132008'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[49].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18980
              },
              {
                "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/370133003'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[50].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19057
              },
              {
                "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/370134009'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[51].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19143
              },
              {
                "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/370135005'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[52].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19232
              },
              {
                "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/405813007'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[53].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19323
              },
              {
                "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/405814001'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[54].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19405
              },
              {
                "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/405815000'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[55].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19491
              },
              {
                "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/405816004'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 19572
              },
              {
                "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/408729009'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 19655
              },
              {
                "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/408730004'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 19737
              },
              {
                "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/408731000'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 19831
              },
              {
                "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/408732007'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 19920
              },
              {
                "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/snomedct: 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": 19999
              },
              {
                "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/411116001'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 20079
              },
              {
                "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/snomedct: 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": 20161
              },
              {
                "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/snomedct: 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": 20239
              },
              {
                "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/snomedct: 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": 20317
              },
              {
                "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/snomedct: 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": 20398
              },
              {
                "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/snomedct: 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": 20481
              },
              {
                "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/snomedct: 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": 20566
              },
              {
                "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/snomedct: 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": 20642
              },
              {
                "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/609096000'"
            },
            "expression": [
              "CodeSystem/snomedct: 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": 20721
              },
              {
                "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/snomedct: 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": 20797
              },
              {
                "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/snomedct: 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": 20870
              },
              {
                "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/snomedct: 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": 20949
              },
              {
                "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/snomedct: 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": 21028
              },
              {
                "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/snomedct: 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": 21110
              },
              {
                "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/snomedct: 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": 21190
              },
              {
                "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/snomedct: 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": 21267
              },
              {
                "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/snomedct: 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": 21345
              },
              {
                "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/snomedct: CodeSystem.property[79].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21422
              },
              {
                "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/snomedct: CodeSystem.property[80].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21500
              },
              {
                "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/snomedct: CodeSystem.property[81].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21574
              },
              {
                "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/snomedct: CodeSystem.property[82].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21648
              },
              {
                "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/snomedct: CodeSystem.property[83].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/field/Concept.definitionStatusId' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://.........?' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_DUPLICATE_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "A property is already defined with the URI 'http://.........?'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/field/Concept.moduleId' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_DUPLICATE_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "A property is already defined with the URI 'http://.........?'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_DUPLICATE_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "A property is already defined with the URI 'http://.........?'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/42752001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/47429007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/116676008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/116686009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/118168003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/118169006' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/118170007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/118171006' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/123005000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/127489000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/131195008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246075003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246090004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246093002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[20]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246112005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[21]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246454002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[22]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246456000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[23]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246501002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[24]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246513007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[25]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246514001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[26]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/255234002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[27]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/260507000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[28]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/260686004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[29]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/260870009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[30]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/263502005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[31]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/272741003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[32]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363589002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[33]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363698007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[34]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363699004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[35]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_DUPLICATE_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "A property is already defined with the code 'Laterality'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[35]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363700003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[36]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363701004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[37]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363702006' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[38]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363703001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[39]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363704007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[40]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363705008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[41]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363709002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[42]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363710007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[43]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363713009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[44]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363714003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[45]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370129005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[46]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370130000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[47]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370131001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[48]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370132008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[49]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370133003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[50]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370134009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[51]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370135005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[52]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/405813007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[53]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/405814001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[54]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/405815000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[55]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/405816004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[56]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/408729009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[57]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/408730004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[58]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/408731000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[59]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/408732007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[60]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/410675002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[61]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/411116001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[62]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/418775008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[63]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/419066007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[64]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/424226004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[65]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/424244007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[66]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/424361007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[67]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/424876005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[68]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/425391005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[69]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/609096000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[70]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704318007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[71]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704319004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[72]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704320005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[73]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704321009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[74]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704322002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[75]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704323007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[76]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704324001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[77]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704325000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[78]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704326004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[79]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704327008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[80]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704346009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[81]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704347000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[82]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704647008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[83]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/snomedct vs http://snomed.info/sct"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-snomedct"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-special-values",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-special-values",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/special-values: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1690
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/special-values: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3727
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/special-values: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/special-values has an 'all system' value set of http://hl7.org/fhir/ValueSet/special-values|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/special-values)"
            },
            "expression": [
              "CodeSystem/special-values: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3727
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/special-values: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/special-values vs http://hl7.org/fhir/special-values"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-special-values"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-specification-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-specification-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/specification-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2152
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/specification-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/specification-type'"
            },
            "expression": [
              "CodeSystem/specification-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/specification-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/specification-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/specification-type vs http://hl7.org/fhir/specification-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-specification-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-specimen-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-specimen-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/specimen-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1491
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/specimen-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/specimen-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3413
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/specimen-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/specimen-status vs http://hl7.org/fhir/specimen-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-specimen-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-structure-definition-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-structure-definition-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/structure-definition-kind: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1712
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/structure-definition-kind: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/structure-definition-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/structure-definition-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/structure-definition-kind vs http://hl7.org/fhir/structure-definition-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-structure-definition-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-subscription-channel-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-channel-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/subscription-channel-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1997
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/subscription-channel-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/subscription-channel-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4301
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/subscription-channel-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/subscription-channel-type vs http://hl7.org/fhir/subscription-channel-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-subscription-channel-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-subscription-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/subscription-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1365
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/subscription-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/subscription-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3131
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/subscription-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/subscription-status vs http://hl7.org/fhir/subscription-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-subscription-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-subscription-tag",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-tag",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/subscription-tag: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/subscription-tag: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/subscription-tag: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/subscription-tag has an 'all system' value set of http://hl7.org/fhir/ValueSet/subscription-tag, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/subscription-tag)"
            },
            "expression": [
              "CodeSystem/subscription-tag: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2609
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/subscription-tag: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/subscription-tag vs http://hl7.org/fhir/subscription-tag"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-subscription-tag"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-substance-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/substance-category: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2438
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/substance-category: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/substance-category: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/substance-category has an 'all system' value set of http://hl7.org/fhir/ValueSet/substance-category|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/substance-category)"
            },
            "expression": [
              "CodeSystem/substance-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5088
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/substance-category vs http://hl7.org/fhir/substance-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-substance-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-substance-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/substance-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/substance-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/substance-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2864
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/substance-status vs http://hl7.org/fhir/substance-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-substance-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-summary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-summary",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1552
              },
              {
                "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://example.org/CodeSystem/contexttype' could not be found, so the code cannot be validated"
            },
            "expression": [
              "CodeSystem/summary: CodeSystem.useContext[0].code.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/summary: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1814
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/summary: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/summary vs http://hl7.org/fhir/CodeSystem/summary"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-summary"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-supplydelivery-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplydelivery-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/supplydelivery-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1590
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/supplydelivery-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/supplydelivery-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3532
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/supplydelivery-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/supplydelivery-status vs http://hl7.org/fhir/supplydelivery-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-supplydelivery-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-supplydelivery-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplydelivery-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/supplydelivery-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/supplydelivery-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/supplydelivery-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/supply-item-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/supplydelivery-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/supply-item-type)"
            },
            "expression": [
              "CodeSystem/supplydelivery-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2539
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/supplydelivery-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/supplydelivery-type vs http://hl7.org/fhir/supply-item-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-supplydelivery-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-supplyrequest-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplyrequest-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/supplyrequest-kind: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/supplyrequest-kind: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/supplyrequest-kind: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/supply-kind has an 'all system' value set of http://hl7.org/fhir/ValueSet/supplyrequest-kind|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/supply-kind)"
            },
            "expression": [
              "CodeSystem/supplyrequest-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2670
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/supplyrequest-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/supplyrequest-kind vs http://hl7.org/fhir/supply-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-supplyrequest-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-supplyrequest-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplyrequest-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/supplyrequest-reason: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/supplyrequest-reason: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2690
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/supplyrequest-reason: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/supplyrequest-reason has an 'all system' value set of http://hl7.org/fhir/ValueSet/supplyrequest-reason|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/supplyrequest-reason)"
            },
            "expression": [
              "CodeSystem/supplyrequest-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2690
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/supplyrequest-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/supplyrequest-reason vs http://hl7.org/fhir/supplyrequest-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-supplyrequest-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-supplyrequest-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplyrequest-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/supplyrequest-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2509
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/supplyrequest-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/supplyrequest-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5169
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/supplyrequest-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/supplyrequest-status vs http://hl7.org/fhir/supplyrequest-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-supplyrequest-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-surface",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-surface",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/surface: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2235
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/surface: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/surface: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/FDI-surface has an 'all system' value set of http://hl7.org/fhir/ValueSet/surface|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/FDI-surface)"
            },
            "expression": [
              "CodeSystem/surface: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4679
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/surface: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/surface vs http://hl7.org/fhir/FDI-surface"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-surface"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-system-version-processing-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-system-version-processing-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/system-version-processing-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1874
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/system-version-processing-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/system-version-processing-mode'"
            },
            "expression": [
              "CodeSystem/system-version-processing-mode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4307
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/system-version-processing-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/system-version-processing-mode vs http://hl7.org/fhir/system-version-processing-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-system-version-processing-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-task-performer-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-task-performer-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2402
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/task-performer-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2373
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/task-performer-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3685
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/task-performer-type'"
            },
            "expression": [
              "CodeSystem/task-performer-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/task-performer-type: 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 hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/task-performer-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4740
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/task-performer-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/task-performer-type vs http://hl7.org/fhir/task-performer-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-task-performer-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-task-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-task-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/task-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2951
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/task-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/task-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5851
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/task-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/task-status vs http://hl7.org/fhir/task-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-task-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-teeth",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-teeth",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/teeth: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5260
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/teeth: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/teeth: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10050
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/teeth: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/teeth vs http://hl7.org/fhir/ex-fdi"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-teeth"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-testscript-operation-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-testscript-operation-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/testscript-operation-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9793
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/testscript-operation-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/testscript-operation-codes: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/testscript-operation-codes has an 'all system' value set of http://hl7.org/fhir/ValueSet/testscript-operation-codes|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/testscript-operation-codes)"
            },
            "expression": [
              "CodeSystem/testscript-operation-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16231
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/testscript-operation-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/testscript-operation-codes vs http://hl7.org/fhir/testscript-operation-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-testscript-operation-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-testscript-profile-destination-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-testscript-profile-destination-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1746
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/testscript-profile-destination-types: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1717
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/testscript-profile-destination-types: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/testscript-profile-destination-types: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/testscript-profile-destination-types has an 'all system' value set of http://hl7.org/fhir/ValueSet/testscript-profile-destination-types|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/testscript-profile-destination-types)"
            },
            "expression": [
              "CodeSystem/testscript-profile-destination-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3800
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/testscript-profile-destination-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/testscript-profile-destination-types vs http://hl7.org/fhir/testscript-profile-destination-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-testscript-profile-destination-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-testscript-profile-origin-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-testscript-profile-origin-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/testscript-profile-origin-types: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/testscript-profile-origin-types: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/testscript-profile-origin-types: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/testscript-profile-origin-types has an 'all system' value set of http://hl7.org/fhir/ValueSet/testscript-profile-origin-types|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/testscript-profile-origin-types)"
            },
            "expression": [
              "CodeSystem/testscript-profile-origin-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2935
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/testscript-profile-origin-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/testscript-profile-origin-types vs http://hl7.org/fhir/testscript-profile-origin-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-testscript-profile-origin-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-tooth",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-tooth",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6772
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/tooth: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6743
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/tooth: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/tooth: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-tooth has an 'all system' value set of http://hl7.org/fhir/ValueSet/tooth|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-tooth)"
            },
            "expression": [
              "CodeSystem/tooth: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12224
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/tooth: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/tooth vs http://hl7.org/fhir/ex-tooth"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-tooth"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-transaction-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-transaction-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/transaction-mode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1320
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/transaction-mode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/transaction-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3063
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/transaction-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/transaction-mode vs http://hl7.org/fhir/transaction-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-transaction-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-trigger-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-trigger-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/trigger-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2031
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/trigger-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4269
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/trigger-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4269
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/trigger-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/trigger-type vs http://hl7.org/fhir/trigger-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-trigger-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-type-derivation-rule",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-type-derivation-rule",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/type-derivation-rule: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1096
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/type-derivation-rule: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/type-derivation-rule: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2723
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/type-derivation-rule: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/type-derivation-rule vs http://hl7.org/fhir/type-derivation-rule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-type-derivation-rule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-udi-entry-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-udi-entry-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/udi-entry-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1775
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/udi-entry-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/udi-entry-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3869
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/udi-entry-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/udi-entry-type vs http://hl7.org/fhir/udi-entry-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-udi-entry-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-udi",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-udi",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/udi: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 719
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/udi: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/udi: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2144
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/udi: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/udi vs http://hl7.org/fhir/ex-udi"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-udi"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-unknown-content-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-unknown-content-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/unknown-content-code: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1492
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/unknown-content-code: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3449
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/unknown-content-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3449
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/unknown-content-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/unknown-content-code vs http://hl7.org/fhir/unknown-content-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-unknown-content-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-usage-context-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-usage-context-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/usage-context-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3334
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/usage-context-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/usage-context-type: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/usage-context-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/usage-context-type|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/usage-context-type)"
            },
            "expression": [
              "CodeSystem/usage-context-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6856
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/usage-context-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/usage-context-type vs http://hl7.org/fhir/usage-context-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-usage-context-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0001",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0001",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0001: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1631
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0001: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0001'"
            },
            "expression": [
              "CodeSystem/v2-0001: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0001: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3740
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0001: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3740
              },
              {
                "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/v2-0001: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0001 vs http://hl7.org/fhir/v2/0001"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0001"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0002",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0002",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0002: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3282
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0002: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0002'"
            },
            "expression": [
              "CodeSystem/v2-0002: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0002: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6766
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0002: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6766
              },
              {
                "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/v2-0002: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0002 vs http://hl7.org/fhir/v2/0002"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0002"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0003",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0003",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87443
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 88753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0003'"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 162786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 162786
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 162786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0003: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 162786
              },
              {
                "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/v2-0003: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0003 vs http://hl7.org/fhir/v2/0003"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0003"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0004",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0004",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0004: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2143
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0004: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3459
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0004'"
            },
            "expression": [
              "CodeSystem/v2-0004: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0004: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4662
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0004: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4662
              },
              {
                "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/v2-0004: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0004 vs http://hl7.org/fhir/v2/0004"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0004"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0007",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0007",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0007: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1922
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0007: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0007'"
            },
            "expression": [
              "CodeSystem/v2-0007: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0007: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4293
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0007: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4293
              },
              {
                "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/v2-0007: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0007 vs http://hl7.org/fhir/v2/0007"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0007"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0008",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0008",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2529
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0008: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2503
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0008: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0008'"
            },
            "expression": [
              "CodeSystem/v2-0008: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0008: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5466
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0008: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5466
              },
              {
                "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/v2-0008: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0008 vs http://hl7.org/fhir/v2/0008"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0008"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0009",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0009",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0009: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3669
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0009: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4993
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0009'"
            },
            "expression": [
              "CodeSystem/v2-0009: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0009: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7572
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0009: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7572
              },
              {
                "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/v2-0009: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0009 vs http://hl7.org/fhir/v2/0009"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0009"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0012",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0012",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0012: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1800
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0012: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0012'"
            },
            "expression": [
              "CodeSystem/v2-0012: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3940
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0012: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3940
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0012: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3940
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0012: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3940
              },
              {
                "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/v2-0012: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0012 vs http://hl7.org/fhir/v2/0012"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0012"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0017",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0017",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0017: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1538
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0017: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0017'"
            },
            "expression": [
              "CodeSystem/v2-0017: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0017: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0017: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/v2-0017: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0017 vs http://hl7.org/fhir/v2/0017"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0017"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0023",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0023",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0023: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3426
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0023: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0023'"
            },
            "expression": [
              "CodeSystem/v2-0023: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7295
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0023: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7295
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0023: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7295
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0023: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7295
              },
              {
                "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/v2-0023: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0023 vs http://hl7.org/fhir/v2/0023"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0023"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0027",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0027",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0027: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1792
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0027: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0027'"
            },
            "expression": [
              "CodeSystem/v2-0027: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0027: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4063
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0027: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4063
              },
              {
                "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/v2-0027: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0027 vs http://hl7.org/fhir/v2/0027"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0027"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0033",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0033",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0033: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5988
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0033: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0033'"
            },
            "expression": [
              "CodeSystem/v2-0033: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0033: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12841
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0033: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0033: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12841
              },
              {
                "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/v2-0033: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0033 vs http://hl7.org/fhir/v2/0033"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0033"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0034",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0034",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0034: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1638
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0034: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0034'"
            },
            "expression": [
              "CodeSystem/v2-0034: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0034: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3626
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0034: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0034: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3626
              },
              {
                "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/v2-0034: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0034 vs http://hl7.org/fhir/v2/0034"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0034"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0038",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0038",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0038: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2564
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0038: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0038'"
            },
            "expression": [
              "CodeSystem/v2-0038: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0038: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5515
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0038: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5515
              },
              {
                "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/v2-0038: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0038 vs http://hl7.org/fhir/v2/0038"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0038"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0043",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0043",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0043: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13596
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0043: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0043'"
            },
            "expression": [
              "CodeSystem/v2-0043: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0043: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27035
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0043: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0043: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27035
              },
              {
                "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/v2-0043: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0043 vs http://hl7.org/fhir/v2/0043"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0043"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0048",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0048",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0048: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9931
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0048: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0048'"
            },
            "expression": [
              "CodeSystem/v2-0048: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0048: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20667
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0048: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0048: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20667
              },
              {
                "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/v2-0048: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0048 vs http://hl7.org/fhir/v2/0048"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0048"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0052",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0052",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0052: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0052: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0052'"
            },
            "expression": [
              "CodeSystem/v2-0052: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0052: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2862
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0052: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2862
              },
              {
                "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/v2-0052: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0052 vs http://hl7.org/fhir/v2/0052"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0052"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0061",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0061",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0061: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1711
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0061: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0061'"
            },
            "expression": [
              "CodeSystem/v2-0061: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0061: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3814
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0061: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3814
              },
              {
                "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/v2-0061: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0061 vs http://hl7.org/fhir/v2/0061"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0061"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0062",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0062",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0062: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1661
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0062: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0062'"
            },
            "expression": [
              "CodeSystem/v2-0062: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0062: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0062: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/v2-0062: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0062 vs http://hl7.org/fhir/v2/0062"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0062"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0063",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0063",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0063: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5731
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0063: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0063'"
            },
            "expression": [
              "CodeSystem/v2-0063: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11254
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0063: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11254
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0063: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11254
              },
              {
                "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/v2-0063: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0063 vs http://hl7.org/fhir/v2/0063"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0063"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0065",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0065",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0065: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3291
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0065: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4621
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0065'"
            },
            "expression": [
              "CodeSystem/v2-0065: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0065: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6732
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0065: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0065: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6732
              },
              {
                "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/v2-0065: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0065 vs http://hl7.org/fhir/v2/0065"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0065"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0066",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0066",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3764
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0066: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3738
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0066: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5062
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0066'"
            },
            "expression": [
              "CodeSystem/v2-0066: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0066: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7172
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0066: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0066: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7172
              },
              {
                "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/v2-0066: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0066 vs http://hl7.org/fhir/v2/0066"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0066"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0069",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0069",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0069: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1284
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0069: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0069'"
            },
            "expression": [
              "CodeSystem/v2-0069: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0069: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3186
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0069: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3186
              },
              {
                "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/v2-0069: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0069 vs http://hl7.org/fhir/v2/0069"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0069"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0070",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0070",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0070: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25744
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0070: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0070'"
            },
            "expression": [
              "CodeSystem/v2-0070: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0070: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53473
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0070: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0070: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53473
              },
              {
                "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/v2-0070: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0070 vs http://hl7.org/fhir/v2/0070"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0070"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0074",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0074",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0074: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9410
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0074: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10758
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0074'"
            },
            "expression": [
              "CodeSystem/v2-0074: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0074: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17798
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0074: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0074: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17798
              },
              {
                "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/v2-0074: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0074 vs http://hl7.org/fhir/v2/0074"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0074"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0076",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0076",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0076: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34295
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0076: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0076'"
            },
            "expression": [
              "CodeSystem/v2-0076: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0076: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61375
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0076: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0076: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61375
              },
              {
                "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/v2-0076: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0076 vs http://hl7.org/fhir/v2/0076"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0076"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0078",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0078",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0078: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8499
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0078: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0078'"
            },
            "expression": [
              "CodeSystem/v2-0078: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0078: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15912
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0078: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0078: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15912
              },
              {
                "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/v2-0078: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0078 vs http://hl7.org/fhir/v2/0078"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0078"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0080",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0080",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0080: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2015
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0080: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0080'"
            },
            "expression": [
              "CodeSystem/v2-0080: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0080: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4499
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0080: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4499
              },
              {
                "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/v2-0080: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0080 vs http://hl7.org/fhir/v2/0080"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0080"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0083",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0083",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0083: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0083: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0083'"
            },
            "expression": [
              "CodeSystem/v2-0083: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0083: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2420
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0083: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2420
              },
              {
                "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/v2-0083: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0083 vs http://hl7.org/fhir/v2/0083"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0083"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0085",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0085",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0085: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5328
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0085: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0085'"
            },
            "expression": [
              "CodeSystem/v2-0085: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0085: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10914
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0085: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10914
              },
              {
                "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/v2-0085: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0085 vs http://hl7.org/fhir/v2/0085"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0085"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0091",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0091",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0091: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0091: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0091'"
            },
            "expression": [
              "CodeSystem/v2-0091: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0091: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2666
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0091: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2666
              },
              {
                "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/v2-0091: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0091 vs http://hl7.org/fhir/v2/0091"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0091"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0092",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0092",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0092: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 911
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0092: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0092'"
            },
            "expression": [
              "CodeSystem/v2-0092: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/v2-0092: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2418
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0092: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2418
              },
              {
                "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/v2-0092: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0092 vs http://hl7.org/fhir/v2/0092"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0092"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0098",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0098",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0098: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0098: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0098'"
            },
            "expression": [
              "CodeSystem/v2-0098: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0098: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2580
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0098: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2580
              },
              {
                "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/v2-0098: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0098 vs http://hl7.org/fhir/v2/0098"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0098"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0100",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0100",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0100: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1691
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0100: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0100'"
            },
            "expression": [
              "CodeSystem/v2-0100: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0100: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3877
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0100: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3877
              },
              {
                "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/v2-0100: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0100 vs http://hl7.org/fhir/v2/0100"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0100"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0102",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0102",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0102: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1836
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0102: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0102'"
            },
            "expression": [
              "CodeSystem/v2-0102: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0102: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4042
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0102: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0102: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4042
              },
              {
                "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/v2-0102: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0102 vs http://hl7.org/fhir/v2/0102"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0102"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0103",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0103",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0103: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1204
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0103: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0103'"
            },
            "expression": [
              "CodeSystem/v2-0103: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0103: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2939
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0103: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2939
              },
              {
                "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/v2-0103: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0103 vs http://hl7.org/fhir/v2/0103"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0103"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0104",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0104",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0104: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3846
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0104: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0104'"
            },
            "expression": [
              "CodeSystem/v2-0104: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0104: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7199
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0104: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0104: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7199
              },
              {
                "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/v2-0104: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0104 vs http://hl7.org/fhir/v2/0104"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0104"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0105",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0105",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0105: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1424
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0105: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0105'"
            },
            "expression": [
              "CodeSystem/v2-0105: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0105: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3387
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0105: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3387
              },
              {
                "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/v2-0105: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0105 vs http://hl7.org/fhir/v2/0105"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0105"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0106",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0106",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0106: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1997
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0106: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0106'"
            },
            "expression": [
              "CodeSystem/v2-0106: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0106: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0106: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0106: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/v2-0106: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0106 vs http://hl7.org/fhir/v2/0106"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0106"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0107",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0107",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0107: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1772
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0107: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0107'"
            },
            "expression": [
              "CodeSystem/v2-0107: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0107: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3904
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0107: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0107: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3904
              },
              {
                "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/v2-0107: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0107 vs http://hl7.org/fhir/v2/0107"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0107"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0108",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0108",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0108: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2146
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0108: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3474
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0108'"
            },
            "expression": [
              "CodeSystem/v2-0108: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0108: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4694
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0108: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0108: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4694
              },
              {
                "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/v2-0108: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0108 vs http://hl7.org/fhir/v2/0108"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0108"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0109",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0109",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0109: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1629
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0109: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0109'"
            },
            "expression": [
              "CodeSystem/v2-0109: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3604
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0109: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3604
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0109: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3604
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0109: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3604
              },
              {
                "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/v2-0109: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0109 vs http://hl7.org/fhir/v2/0109"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0109"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0116",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0116",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0116: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1642
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0116: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0116'"
            },
            "expression": [
              "CodeSystem/v2-0116: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/v2-0116: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3750
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0116: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3750
              },
              {
                "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/v2-0116: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0116 vs http://hl7.org/fhir/v2/0116"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0116"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0119",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0119",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0119: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11203
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0119: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0119'"
            },
            "expression": [
              "CodeSystem/v2-0119: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21377
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0119: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21377
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0119: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21377
              },
              {
                "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/v2-0119: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0119 vs http://hl7.org/fhir/v2/0119"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0119"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0121",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0121",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0121: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2018
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0121: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0121'"
            },
            "expression": [
              "CodeSystem/v2-0121: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0121: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4525
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0121: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4525
              },
              {
                "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/v2-0121: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0121 vs http://hl7.org/fhir/v2/0121"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0121"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0122",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0122",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0122: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1963
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0122: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0122'"
            },
            "expression": [
              "CodeSystem/v2-0122: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0122: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4332
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0122: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4332
              },
              {
                "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/v2-0122: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0122 vs http://hl7.org/fhir/v2/0122"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0122"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0123",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0123",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0123: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0123: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0123'"
            },
            "expression": [
              "CodeSystem/v2-0123: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0123: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8131
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0123: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8131
              },
              {
                "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/v2-0123: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0123 vs http://hl7.org/fhir/v2/0123"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0123"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0124",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0124",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0124: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1672
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0124: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0124'"
            },
            "expression": [
              "CodeSystem/v2-0124: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0124: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3842
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0124: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3842
              },
              {
                "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/v2-0124: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0124 vs http://hl7.org/fhir/v2/0124"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0124"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0126",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0126",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0126: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1508
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0126: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0126'"
            },
            "expression": [
              "CodeSystem/v2-0126: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0126: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3517
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0126: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3517
              },
              {
                "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/v2-0126: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0126 vs http://hl7.org/fhir/v2/0126"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0126"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0127",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0127",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0127: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2098
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0127: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0127'"
            },
            "expression": [
              "CodeSystem/v2-0127: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0127: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4490
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0127: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4490
              },
              {
                "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/v2-0127: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0127 vs http://hl7.org/fhir/v2/0127"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0127"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0128",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0128",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1356
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0128: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1330
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0128: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2652
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0128'"
            },
            "expression": [
              "CodeSystem/v2-0128: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0128: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3141
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0128: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3141
              },
              {
                "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/v2-0128: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0128 vs http://hl7.org/fhir/v2/0128"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0128"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0130",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0130",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0130: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0130: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0130'"
            },
            "expression": [
              "CodeSystem/v2-0130: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0130: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2782
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0130: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2782
              },
              {
                "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/v2-0130: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0130 vs http://hl7.org/fhir/v2/0130"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0130"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0131",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0131",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0131: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3485
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0131: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0131'"
            },
            "expression": [
              "CodeSystem/v2-0131: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7146
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/v2-0131: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7146
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0131: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7146
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0131: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7146
              },
              {
                "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/v2-0131: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0131 vs http://hl7.org/fhir/v2/0131"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0131"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0133",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0133",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0133: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3018
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0133: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0133'"
            },
            "expression": [
              "CodeSystem/v2-0133: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0133: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6559
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0133: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0133: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6559
              },
              {
                "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/v2-0133: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0133 vs http://hl7.org/fhir/v2/0133"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0133"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0135",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0135",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0135: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1190
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0135: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0135'"
            },
            "expression": [
              "CodeSystem/v2-0135: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0135: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2929
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0135: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2929
              },
              {
                "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/v2-0135: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0135 vs http://hl7.org/fhir/v2/0135"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0135"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0136",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0136",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0136: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0136: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0136'"
            },
            "expression": [
              "CodeSystem/v2-0136: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0136: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2586
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0136: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2586
              },
              {
                "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/v2-0136: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0136 vs http://hl7.org/fhir/v2/0136"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0136"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0137",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0137",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0137: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1538
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0137: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0137'"
            },
            "expression": [
              "CodeSystem/v2-0137: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0137: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3571
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0137: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3571
              },
              {
                "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/v2-0137: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0137 vs http://hl7.org/fhir/v2/0137"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0137"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0140",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0140",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0140: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2204
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0140: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0140'"
            },
            "expression": [
              "CodeSystem/v2-0140: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0140: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4871
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0140: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4871
              },
              {
                "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/v2-0140: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0140 vs http://hl7.org/fhir/v2/0140"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0140"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0141",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0141",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_DUPLICATE_IDS"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The XHTML  the resource contains more than one node for each of the following node ids and anchor names: v2-0141-E1.46.46.46E9 (2x)"
            },
            "expression": [
              "CodeSystem/v2-0141: CodeSystem.text.div"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0141: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1902
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0141: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0141'"
            },
            "expression": [
              "CodeSystem/v2-0141: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0141: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4152
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0141: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0141: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4152
              },
              {
                "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/v2-0141: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0141 vs http://hl7.org/fhir/v2/0141"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0141"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0142",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0142",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0142: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0142: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0142'"
            },
            "expression": [
              "CodeSystem/v2-0142: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0142: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2606
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0142: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2606
              },
              {
                "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/v2-0142: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0142 vs http://hl7.org/fhir/v2/0142"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0142"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0144",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0144",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2046
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0144: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2020
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0144: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0144'"
            },
            "expression": [
              "CodeSystem/v2-0144: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0144: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4497
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0144: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4497
              },
              {
                "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/v2-0144: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0144 vs http://hl7.org/fhir/v2/0144"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0144"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0145",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0145",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0145: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1844
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0145: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0145'"
            },
            "expression": [
              "CodeSystem/v2-0145: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0145: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4118
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0145: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4118
              },
              {
                "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/v2-0145: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0145 vs http://hl7.org/fhir/v2/0145"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0145"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0146",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0146",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0146: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1519
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0146: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0146'"
            },
            "expression": [
              "CodeSystem/v2-0146: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0146: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3513
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0146: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3513
              },
              {
                "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/v2-0146: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0146 vs http://hl7.org/fhir/v2/0146"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0146"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0147",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0147",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0147: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1631
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0147: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0147'"
            },
            "expression": [
              "CodeSystem/v2-0147: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0147: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3663
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0147: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3663
              },
              {
                "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/v2-0147: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0147 vs http://hl7.org/fhir/v2/0147"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0147"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0148",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0148",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0148: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1101
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0148: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2449
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0148'"
            },
            "expression": [
              "CodeSystem/v2-0148: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0148: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2782
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0148: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2782
              },
              {
                "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/v2-0148: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0148 vs http://hl7.org/fhir/v2/0148"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0148"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0149",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0149",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0149: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1219
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0149: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0149'"
            },
            "expression": [
              "CodeSystem/v2-0149: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2895
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0149: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2895
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0149: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2895
              },
              {
                "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/v2-0149: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0149 vs http://hl7.org/fhir/v2/0149"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0149"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0150",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0150",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0150: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1398
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0150: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0150'"
            },
            "expression": [
              "CodeSystem/v2-0150: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0150: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3233
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0150: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3233
              },
              {
                "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/v2-0150: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0150 vs http://hl7.org/fhir/v2/0150"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0150"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0153",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0153",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0153: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10907
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0153: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0153'"
            },
            "expression": [
              "CodeSystem/v2-0153: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0153: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22705
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0153: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0153: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22705
              },
              {
                "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/v2-0153: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0153 vs http://hl7.org/fhir/v2/0153"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0153"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0155",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0155",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0155: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1451
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0155: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0155'"
            },
            "expression": [
              "CodeSystem/v2-0155: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0155: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3466
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0155: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3466
              },
              {
                "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/v2-0155: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0155 vs http://hl7.org/fhir/v2/0155"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0155"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0156",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0156",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0156: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3023
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0156: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0156'"
            },
            "expression": [
              "CodeSystem/v2-0156: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0156: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6500
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0156: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0156: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6500
              },
              {
                "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/v2-0156: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0156 vs http://hl7.org/fhir/v2/0156"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0156"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0157",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0157",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0157: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2710
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0157: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0157'"
            },
            "expression": [
              "CodeSystem/v2-0157: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0157: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5872
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0157: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0157: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5872
              },
              {
                "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/v2-0157: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0157 vs http://hl7.org/fhir/v2/0157"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0157"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0158",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0158",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0158: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2362
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0158: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0158'"
            },
            "expression": [
              "CodeSystem/v2-0158: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0158: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5130
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0158: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0158: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5130
              },
              {
                "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/v2-0158: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0158 vs http://hl7.org/fhir/v2/0158"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0158"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0159",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0159",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0159: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1209
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0159: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2555
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0159'"
            },
            "expression": [
              "CodeSystem/v2-0159: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0159: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2979
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0159: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2979
              },
              {
                "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/v2-0159: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0159 vs http://hl7.org/fhir/v2/0159"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0159"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0160",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0160",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0160: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1584
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0160: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0160'"
            },
            "expression": [
              "CodeSystem/v2-0160: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3621
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0160: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3621
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0160: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3621
              },
              {
                "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/v2-0160: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0160 vs http://hl7.org/fhir/v2/0160"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0160"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0161",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0161",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0161: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1464
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0161: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0161'"
            },
            "expression": [
              "CodeSystem/v2-0161: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0161: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3469
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0161: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3469
              },
              {
                "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/v2-0161: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0161 vs http://hl7.org/fhir/v2/0161"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0161"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0162",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0162",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0162: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8267
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0162: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0162'"
            },
            "expression": [
              "CodeSystem/v2-0162: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0162: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15792
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0162: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15792
              },
              {
                "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/v2-0162: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0162 vs http://hl7.org/fhir/v2/0162"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0162"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0163",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0163",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11685
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0163: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11659
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0163: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0163'"
            },
            "expression": [
              "CodeSystem/v2-0163: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0163: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21990
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0163: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0163: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21990
              },
              {
                "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/v2-0163: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0163 vs http://hl7.org/fhir/v2/0163"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0163"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0164",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0164",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0164: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2236
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0164: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3568
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0164'"
            },
            "expression": [
              "CodeSystem/v2-0164: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4834
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0164: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4834
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0164: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4834
              },
              {
                "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/v2-0164: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0164 vs http://hl7.org/fhir/v2/0164"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0164"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0165",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0165",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3030
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0165: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3004
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0165: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0165'"
            },
            "expression": [
              "CodeSystem/v2-0165: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0165: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6267
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0165: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6267
              },
              {
                "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/v2-0165: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0165 vs http://hl7.org/fhir/v2/0165"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0165"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0166",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0166",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0166: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0166: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0166'"
            },
            "expression": [
              "CodeSystem/v2-0166: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0166: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2646
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0166: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2646
              },
              {
                "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/v2-0166: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0166 vs http://hl7.org/fhir/v2/0166"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0166"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0167",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0167",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0167: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3322
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0167: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0167'"
            },
            "expression": [
              "CodeSystem/v2-0167: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0167: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6787
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0167: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6787
              },
              {
                "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/v2-0167: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0167 vs http://hl7.org/fhir/v2/0167"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0167"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0168",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0168",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0168: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2285
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0168: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3613
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0168'"
            },
            "expression": [
              "CodeSystem/v2-0168: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0168: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5029
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0168: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5029
              },
              {
                "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/v2-0168: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0168 vs http://hl7.org/fhir/v2/0168"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0168"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0169",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0169",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0169: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0169: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0169'"
            },
            "expression": [
              "CodeSystem/v2-0169: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0169: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2846
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0169: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2846
              },
              {
                "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/v2-0169: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0169 vs http://hl7.org/fhir/v2/0169"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0169"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0170",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0170",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0170: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1335
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0170: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0170'"
            },
            "expression": [
              "CodeSystem/v2-0170: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0170: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3207
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0170: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3207
              },
              {
                "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/v2-0170: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0170 vs http://hl7.org/fhir/v2/0170"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0170"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0173",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0173",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0173: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1072
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0173: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0173'"
            },
            "expression": [
              "CodeSystem/v2-0173: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0173: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2714
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0173: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2714
              },
              {
                "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/v2-0173: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0173 vs http://hl7.org/fhir/v2/0173"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0173"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0174",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0174",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0174: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3121
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0174: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0174'"
            },
            "expression": [
              "CodeSystem/v2-0174: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0174: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6767
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0174: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6767
              },
              {
                "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/v2-0174: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0174 vs http://hl7.org/fhir/v2/0174"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0174"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0175",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0175",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0175: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6900
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0175: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8244
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0175'"
            },
            "expression": [
              "CodeSystem/v2-0175: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0175: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13163
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0175: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0175: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13163
              },
              {
                "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/v2-0175: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0175 vs http://hl7.org/fhir/v2/0175"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0175"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0177",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0177",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0177: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2518
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0177: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0177'"
            },
            "expression": [
              "CodeSystem/v2-0177: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5406
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0177: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5406
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0177: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5406
              },
              {
                "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/v2-0177: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0177 vs http://hl7.org/fhir/v2/0177"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0177"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0178",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0178",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0178: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1414
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0178: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2746
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0178'"
            },
            "expression": [
              "CodeSystem/v2-0178: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0178: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3388
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0178: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3388
              },
              {
                "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/v2-0178: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0178 vs http://hl7.org/fhir/v2/0178"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0178"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0179",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0179",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0179: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2275
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0179: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0179'"
            },
            "expression": [
              "CodeSystem/v2-0179: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0179: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5054
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0179: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5054
              },
              {
                "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/v2-0179: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0179 vs http://hl7.org/fhir/v2/0179"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0179"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0180",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0180",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0180: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1916
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0180: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0180'"
            },
            "expression": [
              "CodeSystem/v2-0180: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0180: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4321
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0180: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4321
              },
              {
                "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/v2-0180: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0180 vs http://hl7.org/fhir/v2/0180"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0180"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0181",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0181",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0181: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1344
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0181: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0181'"
            },
            "expression": [
              "CodeSystem/v2-0181: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0181: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0181: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/v2-0181: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0181 vs http://hl7.org/fhir/v2/0181"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0181"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0183",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0183",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0183: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0183: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0183'"
            },
            "expression": [
              "CodeSystem/v2-0183: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0183: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2788
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0183: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2788
              },
              {
                "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/v2-0183: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0183 vs http://hl7.org/fhir/v2/0183"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0183"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0185",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0185",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0185: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1810
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0185: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0185'"
            },
            "expression": [
              "CodeSystem/v2-0185: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0185: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4116
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0185: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4116
              },
              {
                "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/v2-0185: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0185 vs http://hl7.org/fhir/v2/0185"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0185"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0187",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0187",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0187: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0187: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0187'"
            },
            "expression": [
              "CodeSystem/v2-0187: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0187: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2884
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0187: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2884
              },
              {
                "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/v2-0187: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0187 vs http://hl7.org/fhir/v2/0187"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0187"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0189",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0189",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0189: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0189: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0189'"
            },
            "expression": [
              "CodeSystem/v2-0189: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0189: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2650
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0189: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2650
              },
              {
                "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/v2-0189: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0189 vs http://hl7.org/fhir/v2/0189"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0189"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0190",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0190",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0190: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4051
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0190: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0190'"
            },
            "expression": [
              "CodeSystem/v2-0190: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0190: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8068
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0190: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8068
              },
              {
                "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/v2-0190: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0190 vs http://hl7.org/fhir/v2/0190"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0190"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0191",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0191",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0191: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4325
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0191: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0191'"
            },
            "expression": [
              "CodeSystem/v2-0191: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0191: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8557
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0191: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0191: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8557
              },
              {
                "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/v2-0191: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0191 vs http://hl7.org/fhir/v2/0191"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0191"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0193",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0193",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0193: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1352
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0193: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0193'"
            },
            "expression": [
              "CodeSystem/v2-0193: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0193: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3204
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0193: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3204
              },
              {
                "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/v2-0193: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0193 vs http://hl7.org/fhir/v2/0193"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0193"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0200",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0200",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0200: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5294
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0200: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6602
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0200'"
            },
            "expression": [
              "CodeSystem/v2-0200: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0200: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9943
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0200: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0200: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v2-0200: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9943
              },
              {
                "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/v2-0200: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0200 vs http://hl7.org/fhir/v2/0200"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0200"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0201",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0201",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0201: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2353
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0201: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0201'"
            },
            "expression": [
              "CodeSystem/v2-0201: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0201: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5072
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0201: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5072
              },
              {
                "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/v2-0201: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0201 vs http://hl7.org/fhir/v2/0201"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0201"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0202",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0202",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0202: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2369
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0202: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0202'"
            },
            "expression": [
              "CodeSystem/v2-0202: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0202: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5027
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0202: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5027
              },
              {
                "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/v2-0202: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0202 vs http://hl7.org/fhir/v2/0202"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0202"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0203",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0203",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0203: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21740
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0203: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0203'"
            },
            "expression": [
              "CodeSystem/v2-0203: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0203: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37805
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0203: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0203: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37805
              },
              {
                "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/v2-0203: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v2-0203: CodeSystem.concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0203 vs http://hl7.org/fhir/v2/0203"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0203"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0204",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0204",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0204: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1416
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0204: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0204'"
            },
            "expression": [
              "CodeSystem/v2-0204: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0204: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3362
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0204: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3362
              },
              {
                "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/v2-0204: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0204 vs http://hl7.org/fhir/v2/0204"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0204"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0205",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0205",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0205: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1748
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0205: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0205'"
            },
            "expression": [
              "CodeSystem/v2-0205: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0205: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4061
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0205: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4061
              },
              {
                "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/v2-0205: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0205 vs http://hl7.org/fhir/v2/0205"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0205"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0206",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0206",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0206: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1353
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0206: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0206'"
            },
            "expression": [
              "CodeSystem/v2-0206: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0206: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3199
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0206: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3199
              },
              {
                "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/v2-0206: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0206 vs http://hl7.org/fhir/v2/0206"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0206"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0207",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0207",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0207: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1402
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0207: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0207'"
            },
            "expression": [
              "CodeSystem/v2-0207: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0207: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0207: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/v2-0207: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0207 vs http://hl7.org/fhir/v2/0207"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0207"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0208",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0208",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0208: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1226
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0208: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0208'"
            },
            "expression": [
              "CodeSystem/v2-0208: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0208: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3108
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0208: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3108
              },
              {
                "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/v2-0208: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0208 vs http://hl7.org/fhir/v2/0208"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0208"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0209",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0209",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1594
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0209: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1568
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0209: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0209'"
            },
            "expression": [
              "CodeSystem/v2-0209: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0209: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3696
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0209: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3696
              },
              {
                "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/v2-0209: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0209 vs http://hl7.org/fhir/v2/0209"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0209"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0210",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0210",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0210: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 824
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0210: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2158
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0210'"
            },
            "expression": [
              "CodeSystem/v2-0210: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0210: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2342
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0210: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2342
              },
              {
                "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/v2-0210: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v2-0210: CodeSystem.concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0210 vs http://hl7.org/fhir/v2/0210"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0210"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0211",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0211",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0211: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6632
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0211: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7970
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0211'"
            },
            "expression": [
              "CodeSystem/v2-0211: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0211: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13057
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0211: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0211: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13057
              },
              {
                "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/v2-0211: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0211 vs http://hl7.org/fhir/v2/0211"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0211"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0213",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0213",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0213: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1396
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0213: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0213'"
            },
            "expression": [
              "CodeSystem/v2-0213: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0213: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3466
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0213: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3466
              },
              {
                "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/v2-0213: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0213 vs http://hl7.org/fhir/v2/0213"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0213"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0214",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0214",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0214: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1248
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0214: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0214'"
            },
            "expression": [
              "CodeSystem/v2-0214: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0214: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0214: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
              },
              {
                "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/v2-0214: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0214 vs http://hl7.org/fhir/v2/0214"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0214"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0215",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0215",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0215: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0215: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0215'"
            },
            "expression": [
              "CodeSystem/v2-0215: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0215: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2784
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0215: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2784
              },
              {
                "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/v2-0215: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0215 vs http://hl7.org/fhir/v2/0215"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0215"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0216",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0216",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 902
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0216: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 876
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0216: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0216'"
            },
            "expression": [
              "CodeSystem/v2-0216: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0216: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2450
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0216: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2450
              },
              {
                "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/v2-0216: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0216 vs http://hl7.org/fhir/v2/0216"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0216"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0217",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0217",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0217: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 943
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0217: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0217'"
            },
            "expression": [
              "CodeSystem/v2-0217: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0217: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2564
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0217: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2564
              },
              {
                "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/v2-0217: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0217 vs http://hl7.org/fhir/v2/0217"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0217"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0220",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0220",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0220: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1596
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0220: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0220'"
            },
            "expression": [
              "CodeSystem/v2-0220: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0220: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3525
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0220: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3525
              },
              {
                "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/v2-0220: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0220 vs http://hl7.org/fhir/v2/0220"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0220"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0223",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0223",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0223: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2255
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0223: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0223'"
            },
            "expression": [
              "CodeSystem/v2-0223: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4882
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0223: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4882
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0223: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4882
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0223: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4882
              },
              {
                "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/v2-0223: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0223 vs http://hl7.org/fhir/v2/0223"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0223"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0224",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0224",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0224: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0224: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0224'"
            },
            "expression": [
              "CodeSystem/v2-0224: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0224: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2582
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0224: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2582
              },
              {
                "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/v2-0224: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0224 vs http://hl7.org/fhir/v2/0224"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0224"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0225",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0225",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0225: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0225: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0225'"
            },
            "expression": [
              "CodeSystem/v2-0225: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0225: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2572
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0225: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2572
              },
              {
                "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/v2-0225: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0225 vs http://hl7.org/fhir/v2/0225"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0225"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0227",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0227",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0227: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8266
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0227: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0227'"
            },
            "expression": [
              "CodeSystem/v2-0227: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15992
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0227: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15992
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0227: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15992
              },
              {
                "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/v2-0227: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0227 vs http://hl7.org/fhir/v2/0227"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0227"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0228",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0228",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0228: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2236
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0228: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0228'"
            },
            "expression": [
              "CodeSystem/v2-0228: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0228: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4920
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0228: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4920
              },
              {
                "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/v2-0228: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0228 vs http://hl7.org/fhir/v2/0228"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0228"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0229",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0229",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0229: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1803
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0229: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0229'"
            },
            "expression": [
              "CodeSystem/v2-0229: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0229: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4064
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0229: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0229: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4064
              },
              {
                "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/v2-0229: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0229 vs http://hl7.org/fhir/v2/0229"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0229"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0230",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0230",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0230: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1620
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0230: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0230'"
            },
            "expression": [
              "CodeSystem/v2-0230: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0230: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3774
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0230: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3774
              },
              {
                "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/v2-0230: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0230 vs http://hl7.org/fhir/v2/0230"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0230"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0231",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0231",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0231: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 986
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0231: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0231'"
            },
            "expression": [
              "CodeSystem/v2-0231: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0231: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2640
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0231: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2640
              },
              {
                "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/v2-0231: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0231 vs http://hl7.org/fhir/v2/0231"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0231"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0232",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0232",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0232: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1033
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0232: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0232'"
            },
            "expression": [
              "CodeSystem/v2-0232: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0232: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2771
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0232: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2771
              },
              {
                "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/v2-0232: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0232 vs http://hl7.org/fhir/v2/0232"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0232"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0234",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0234",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0234: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1870
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0234: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0234'"
            },
            "expression": [
              "CodeSystem/v2-0234: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0234: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4239
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0234: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4239
              },
              {
                "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/v2-0234: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0234 vs http://hl7.org/fhir/v2/0234"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0234"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0235",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0235",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0235: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1920
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0235: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0235'"
            },
            "expression": [
              "CodeSystem/v2-0235: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0235: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0235: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/v2-0235: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0235 vs http://hl7.org/fhir/v2/0235"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0235"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0236",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0236",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0236: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1135
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0236: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2459
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0236'"
            },
            "expression": [
              "CodeSystem/v2-0236: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0236: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2922
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0236: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2922
              },
              {
                "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/v2-0236: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0236 vs http://hl7.org/fhir/v2/0236"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0236"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0237",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0237",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0237: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1624
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0237: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0237'"
            },
            "expression": [
              "CodeSystem/v2-0237: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3816
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0237: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3816
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0237: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3816
              },
              {
                "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/v2-0237: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0237 vs http://hl7.org/fhir/v2/0237"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0237"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0238",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0238",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0238: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1157
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0238: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0238'"
            },
            "expression": [
              "CodeSystem/v2-0238: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2824
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0238: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2824
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0238: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2824
              },
              {
                "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/v2-0238: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0238 vs http://hl7.org/fhir/v2/0238"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0238"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0239",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0239",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0239: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0239: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0239'"
            },
            "expression": [
              "CodeSystem/v2-0239: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0239: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2804
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0239: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2804
              },
              {
                "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/v2-0239: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0239 vs http://hl7.org/fhir/v2/0239"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0239"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0240",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0240",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0240: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2000
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0240: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0240'"
            },
            "expression": [
              "CodeSystem/v2-0240: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0240: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4542
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0240: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4542
              },
              {
                "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/v2-0240: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0240 vs http://hl7.org/fhir/v2/0240"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0240"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0241",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0241",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0241: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1440
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0241: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2760
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0241'"
            },
            "expression": [
              "CodeSystem/v2-0241: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0241: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3462
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0241: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3462
              },
              {
                "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/v2-0241: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0241 vs http://hl7.org/fhir/v2/0241"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0241"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0242",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0242",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0242: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1692
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0242: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3046
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0242'"
            },
            "expression": [
              "CodeSystem/v2-0242: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0242: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4000
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0242: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4000
              },
              {
                "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/v2-0242: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0242 vs http://hl7.org/fhir/v2/0242"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0242"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0243",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0243",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0243: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1171
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0243: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0243'"
            },
            "expression": [
              "CodeSystem/v2-0243: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0243: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2864
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0243: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2864
              },
              {
                "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/v2-0243: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0243 vs http://hl7.org/fhir/v2/0243"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0243"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0247",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0247",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0247: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2618
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0247: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0247'"
            },
            "expression": [
              "CodeSystem/v2-0247: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0247: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5718
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0247: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5718
              },
              {
                "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/v2-0247: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0247 vs http://hl7.org/fhir/v2/0247"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0247"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0248",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0248",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0248: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1465
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0248: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0248'"
            },
            "expression": [
              "CodeSystem/v2-0248: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0248: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3576
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0248: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3576
              },
              {
                "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/v2-0248: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0248 vs http://hl7.org/fhir/v2/0248"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0248"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0250",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0250",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0250: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1256
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0250: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0250'"
            },
            "expression": [
              "CodeSystem/v2-0250: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0250: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3152
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0250: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3152
              },
              {
                "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/v2-0250: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0250 vs http://hl7.org/fhir/v2/0250"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0250"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0251",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0251",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0251: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1495
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0251: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2859
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0251'"
            },
            "expression": [
              "CodeSystem/v2-0251: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3633
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0251: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3633
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0251: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3633
              },
              {
                "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/v2-0251: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0251 vs http://hl7.org/fhir/v2/0251"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0251"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0252",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0252",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0252: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2632
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0252: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0252'"
            },
            "expression": [
              "CodeSystem/v2-0252: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0252: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5761
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0252: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5761
              },
              {
                "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/v2-0252: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0252 vs http://hl7.org/fhir/v2/0252"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0252"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0253",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0253",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0253: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0253: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0253'"
            },
            "expression": [
              "CodeSystem/v2-0253: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0253: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3002
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0253: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3002
              },
              {
                "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/v2-0253: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0253 vs http://hl7.org/fhir/v2/0253"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0253"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0254",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0254",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0254: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14074
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0254: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0254'"
            },
            "expression": [
              "CodeSystem/v2-0254: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0254: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26310
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0254: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26310
              },
              {
                "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/v2-0254: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0254 vs http://hl7.org/fhir/v2/0254"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0254"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0255",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0255",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4833
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0255: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4807
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0255: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0255'"
            },
            "expression": [
              "CodeSystem/v2-0255: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9269
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0255: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9269
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0255: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9269
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0255: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9269
              },
              {
                "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/v2-0255: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0255 vs http://hl7.org/fhir/v2/0255"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0255"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0256",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0256",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0256: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6977
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0256: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0256'"
            },
            "expression": [
              "CodeSystem/v2-0256: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0256: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13671
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0256: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13671
              },
              {
                "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/v2-0256: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0256 vs http://hl7.org/fhir/v2/0256"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0256"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0257",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0257",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0257: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1403
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0257: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0257'"
            },
            "expression": [
              "CodeSystem/v2-0257: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0257: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3475
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0257: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3475
              },
              {
                "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/v2-0257: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0257 vs http://hl7.org/fhir/v2/0257"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0257"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0258",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0258",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0258: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1090
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0258: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0258'"
            },
            "expression": [
              "CodeSystem/v2-0258: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0258: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2781
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0258: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2781
              },
              {
                "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/v2-0258: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0258 vs http://hl7.org/fhir/v2/0258"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0258"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0259",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0259",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0259: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4106
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0259: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0259'"
            },
            "expression": [
              "CodeSystem/v2-0259: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0259: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8336
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0259: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8336
              },
              {
                "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/v2-0259: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0259 vs http://hl7.org/fhir/v2/0259"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0259"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0260",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0260",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0260: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1516
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0260: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0260'"
            },
            "expression": [
              "CodeSystem/v2-0260: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3604
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0260: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3604
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0260: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3604
              },
              {
                "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/v2-0260: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0260 vs http://hl7.org/fhir/v2/0260"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0260"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0261",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0261",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0261: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1599
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0261: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2925
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0261'"
            },
            "expression": [
              "CodeSystem/v2-0261: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0261: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3748
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0261: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3748
              },
              {
                "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/v2-0261: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0261 vs http://hl7.org/fhir/v2/0261"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0261"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0262",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0262",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0262: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1384
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0262: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2700
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0262'"
            },
            "expression": [
              "CodeSystem/v2-0262: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0262: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3368
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0262: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3368
              },
              {
                "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/v2-0262: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0262 vs http://hl7.org/fhir/v2/0262"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0262"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0263",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0263",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0263: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1408
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0263: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2724
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0263'"
            },
            "expression": [
              "CodeSystem/v2-0263: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0263: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3394
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0263: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3394
              },
              {
                "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/v2-0263: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0263 vs http://hl7.org/fhir/v2/0263"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0263"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0265",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0265",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0265: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3953
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0265: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0265'"
            },
            "expression": [
              "CodeSystem/v2-0265: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8016
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0265: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8016
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0265: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8016
              },
              {
                "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/v2-0265: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0265 vs http://hl7.org/fhir/v2/0265"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0265"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0267",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0267",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0267: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1399
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0267: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0267'"
            },
            "expression": [
              "CodeSystem/v2-0267: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0267: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3368
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0267: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3368
              },
              {
                "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/v2-0267: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0267 vs http://hl7.org/fhir/v2/0267"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0267"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0268",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0268",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0268: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1009
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0268: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2315
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0268'"
            },
            "expression": [
              "CodeSystem/v2-0268: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2674
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0268: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2674
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0268: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2674
              },
              {
                "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/v2-0268: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0268 vs http://hl7.org/fhir/v2/0268"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0268"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0269",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0269",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0269: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 882
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0269: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0269'"
            },
            "expression": [
              "CodeSystem/v2-0269: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0269: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2464
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0269: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2464
              },
              {
                "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/v2-0269: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0269 vs http://hl7.org/fhir/v2/0269"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0269"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0270",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0270",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0270: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2537
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0270: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0270'"
            },
            "expression": [
              "CodeSystem/v2-0270: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0270: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5484
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0270: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5484
              },
              {
                "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/v2-0270: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0270 vs http://hl7.org/fhir/v2/0270"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0270"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0271",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0271",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0271: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1907
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0271: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0271'"
            },
            "expression": [
              "CodeSystem/v2-0271: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0271: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4273
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0271: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4273
              },
              {
                "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/v2-0271: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0271 vs http://hl7.org/fhir/v2/0271"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0271"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0272",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0272",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0272: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2389
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0272: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0272'"
            },
            "expression": [
              "CodeSystem/v2-0272: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0272: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5300
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0272: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0272: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5300
              },
              {
                "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/v2-0272: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0272 vs http://hl7.org/fhir/v2/0272"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0272"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0273",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0273",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0273: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1540
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0273: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0273'"
            },
            "expression": [
              "CodeSystem/v2-0273: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0273: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3612
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0273: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3612
              },
              {
                "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/v2-0273: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0273 vs http://hl7.org/fhir/v2/0273"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0273"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0275",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0275",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1459
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0275: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1433
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0275: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0275'"
            },
            "expression": [
              "CodeSystem/v2-0275: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0275: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3388
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0275: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3388
              },
              {
                "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/v2-0275: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0275 vs http://hl7.org/fhir/v2/0275"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0275"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0276",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0276",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0276: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1533
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0276: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0276'"
            },
            "expression": [
              "CodeSystem/v2-0276: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/v2-0276: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3682
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0276: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3682
              },
              {
                "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/v2-0276: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0276 vs http://hl7.org/fhir/v2/0276"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0276"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0277",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0277",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0277: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1507
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0277: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0277'"
            },
            "expression": [
              "CodeSystem/v2-0277: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0277: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3670
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0277: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3670
              },
              {
                "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/v2-0277: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0277 vs http://hl7.org/fhir/v2/0277"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0277"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0278",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0278",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0278: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3307
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0278: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0278'"
            },
            "expression": [
              "CodeSystem/v2-0278: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0278: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7052
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0278: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7052
              },
              {
                "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/v2-0278: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0278 vs http://hl7.org/fhir/v2/0278"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0278"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0279",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0279",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0279: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1631
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0279: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0279'"
            },
            "expression": [
              "CodeSystem/v2-0279: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0279: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3914
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0279: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3914
              },
              {
                "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/v2-0279: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0279 vs http://hl7.org/fhir/v2/0279"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0279"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0280",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0280",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0280: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 926
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0280: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2250
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0280'"
            },
            "expression": [
              "CodeSystem/v2-0280: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0280: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2526
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0280: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2526
              },
              {
                "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/v2-0280: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0280 vs http://hl7.org/fhir/v2/0280"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0280"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0281",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0281",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0281: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1308
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0281: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0281'"
            },
            "expression": [
              "CodeSystem/v2-0281: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0281: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3163
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0281: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3163
              },
              {
                "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/v2-0281: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0281 vs http://hl7.org/fhir/v2/0281"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0281"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0282",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0282",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0282: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0282: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0282'"
            },
            "expression": [
              "CodeSystem/v2-0282: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0282: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2998
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0282: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2998
              },
              {
                "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/v2-0282: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0282 vs http://hl7.org/fhir/v2/0282"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0282"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0283",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0283",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0283: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0283: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0283'"
            },
            "expression": [
              "CodeSystem/v2-0283: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2756
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0283: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2756
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0283: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2756
              },
              {
                "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/v2-0283: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0283 vs http://hl7.org/fhir/v2/0283"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0283"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0284",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0284",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1093
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0284: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0284: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0284'"
            },
            "expression": [
              "CodeSystem/v2-0284: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0284: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2786
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0284: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2786
              },
              {
                "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/v2-0284: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0284 vs http://hl7.org/fhir/v2/0284"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0284"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0286",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0286",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0286: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1174
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0286: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0286'"
            },
            "expression": [
              "CodeSystem/v2-0286: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0286: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2988
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0286: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2988
              },
              {
                "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/v2-0286: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0286 vs http://hl7.org/fhir/v2/0286"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0286"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0287",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0287",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0287: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1791
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0287: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0287'"
            },
            "expression": [
              "CodeSystem/v2-0287: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4008
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0287: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4008
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0287: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4008
              },
              {
                "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/v2-0287: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0287 vs http://hl7.org/fhir/v2/0287"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0287"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0290",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0290",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0290: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8518
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0290: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0290'"
            },
            "expression": [
              "CodeSystem/v2-0290: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0290: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18937
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0290: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0290: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18937
              },
              {
                "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/v2-0290: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0290 vs http://hl7.org/fhir/v2/0290"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0290"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0291",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0291",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0291: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4155
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0291: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0291'"
            },
            "expression": [
              "CodeSystem/v2-0291: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0291: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8976
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0291: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0291: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8976
              },
              {
                "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/v2-0291: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0291 vs http://hl7.org/fhir/v2/0291"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0291"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0292",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0292",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16633
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0292: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16607
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0292: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0292'"
            },
            "expression": [
              "CodeSystem/v2-0292: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0292: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31143
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0292: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31143
              },
              {
                "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/v2-0292: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0292 vs http://hl7.org/fhir/v2/0292"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0292"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0294",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0294",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0294: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3235
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0294: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0294'"
            },
            "expression": [
              "CodeSystem/v2-0294: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0294: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7040
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0294: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7040
              },
              {
                "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/v2-0294: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0294 vs http://hl7.org/fhir/v2/0294"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0294"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0298",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0298",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0298: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1309
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0298: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0298'"
            },
            "expression": [
              "CodeSystem/v2-0298: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0298: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3306
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0298: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3306
              },
              {
                "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/v2-0298: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0298 vs http://hl7.org/fhir/v2/0298"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0298"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0299",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0299",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0299: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2125
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0299: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0299'"
            },
            "expression": [
              "CodeSystem/v2-0299: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0299: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4659
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0299: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4659
              },
              {
                "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/v2-0299: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0299 vs http://hl7.org/fhir/v2/0299"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0299"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0301",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0301",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0301: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7554
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0301: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0301'"
            },
            "expression": [
              "CodeSystem/v2-0301: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0301: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14676
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0301: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0301: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v2-0301: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14676
              },
              {
                "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/v2-0301: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0301 vs http://hl7.org/fhir/v2/0301"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0301"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0305",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0305",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1834
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0305: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1808
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0305: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0305'"
            },
            "expression": [
              "CodeSystem/v2-0305: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0305: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4048
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0305: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4048
              },
              {
                "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/v2-0305: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0305 vs http://hl7.org/fhir/v2/0305"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0305"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0309",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0309",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0309: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0309: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0309'"
            },
            "expression": [
              "CodeSystem/v2-0309: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2927
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0309: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2927
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0309: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2927
              },
              {
                "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/v2-0309: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0309 vs http://hl7.org/fhir/v2/0309"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0309"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0311",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0311",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0311: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1377
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0311: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0311'"
            },
            "expression": [
              "CodeSystem/v2-0311: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0311: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3258
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0311: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3258
              },
              {
                "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/v2-0311: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0311 vs http://hl7.org/fhir/v2/0311"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0311"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0315",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0315",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0315: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1537
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0315: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2859
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0315'"
            },
            "expression": [
              "CodeSystem/v2-0315: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0315: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3702
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0315: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3702
              },
              {
                "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/v2-0315: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0315 vs http://hl7.org/fhir/v2/0315"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0315"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0316",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0316",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0316: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2019
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0316: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0316'"
            },
            "expression": [
              "CodeSystem/v2-0316: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0316: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4622
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0316: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4622
              },
              {
                "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/v2-0316: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0316 vs http://hl7.org/fhir/v2/0316"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0316"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0317",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0317",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0317: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1077
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0317: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0317'"
            },
            "expression": [
              "CodeSystem/v2-0317: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0317: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2615
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0317: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2615
              },
              {
                "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/v2-0317: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0317 vs http://hl7.org/fhir/v2/0317"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0317"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0321",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0321",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0321: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0321: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0321'"
            },
            "expression": [
              "CodeSystem/v2-0321: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0321: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2873
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0321: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2873
              },
              {
                "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/v2-0321: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0321 vs http://hl7.org/fhir/v2/0321"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0321"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0322",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0322",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0322: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0322: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0322'"
            },
            "expression": [
              "CodeSystem/v2-0322: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0322: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2860
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0322: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2860
              },
              {
                "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/v2-0322: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0322 vs http://hl7.org/fhir/v2/0322"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0322"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0323",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0323",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0323: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1702
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0323: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0323'"
            },
            "expression": [
              "CodeSystem/v2-0323: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0323: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3924
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0323: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0323: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3924
              },
              {
                "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/v2-0323: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0323 vs http://hl7.org/fhir/v2/0323"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0323"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0324",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0324",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0324: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2505
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0324: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0324'"
            },
            "expression": [
              "CodeSystem/v2-0324: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0324: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5480
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0324: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5480
              },
              {
                "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/v2-0324: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0324 vs http://hl7.org/fhir/v2/0324"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0324"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0325",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0325",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0325: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1585
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0325: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0325'"
            },
            "expression": [
              "CodeSystem/v2-0325: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0325: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3757
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0325: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3757
              },
              {
                "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/v2-0325: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0325 vs http://hl7.org/fhir/v2/0325"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0325"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0326",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0326",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0326: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0326: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0326'"
            },
            "expression": [
              "CodeSystem/v2-0326: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0326: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2922
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0326: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2922
              },
              {
                "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/v2-0326: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0326 vs http://hl7.org/fhir/v2/0326"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0326"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0329",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0329",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0329: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0329: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0329'"
            },
            "expression": [
              "CodeSystem/v2-0329: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0329: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2452
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0329: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2452
              },
              {
                "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/v2-0329: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0329 vs http://hl7.org/fhir/v2/0329"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0329"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0330",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0330",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0330: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1411
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0330: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0330'"
            },
            "expression": [
              "CodeSystem/v2-0330: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0330: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3411
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0330: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3411
              },
              {
                "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/v2-0330: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0330 vs http://hl7.org/fhir/v2/0330"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0330"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0331",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0331",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0331: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0331: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0331'"
            },
            "expression": [
              "CodeSystem/v2-0331: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2876
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0331: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2876
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0331: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2876
              },
              {
                "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/v2-0331: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0331 vs http://hl7.org/fhir/v2/0331"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0331"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0332",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0332",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0332: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 837
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0332: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0332'"
            },
            "expression": [
              "CodeSystem/v2-0332: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0332: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2358
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0332: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2358
              },
              {
                "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/v2-0332: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0332 vs http://hl7.org/fhir/v2/0332"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0332"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0334",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0334",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0334: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1378
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0334: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0334'"
            },
            "expression": [
              "CodeSystem/v2-0334: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0334: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3243
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0334: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3243
              },
              {
                "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/v2-0334: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0334 vs http://hl7.org/fhir/v2/0334"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0334"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0335",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0335",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0335: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5598
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0335: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0335'"
            },
            "expression": [
              "CodeSystem/v2-0335: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0335: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10952
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0335: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10952
              },
              {
                "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/v2-0335: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0335 vs http://hl7.org/fhir/v2/0335"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0335"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0336",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0336",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0336: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0336: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0336'"
            },
            "expression": [
              "CodeSystem/v2-0336: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0336: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2856
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0336: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2856
              },
              {
                "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/v2-0336: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0336 vs http://hl7.org/fhir/v2/0336"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0336"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0337",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0337",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0337: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 853
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0337: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0337'"
            },
            "expression": [
              "CodeSystem/v2-0337: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2408
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0337: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2408
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0337: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2408
              },
              {
                "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/v2-0337: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0337 vs http://hl7.org/fhir/v2/0337"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0337"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0338",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0338",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2268
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0338: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2242
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0338: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0338'"
            },
            "expression": [
              "CodeSystem/v2-0338: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4954
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0338: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4954
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0338: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4954
              },
              {
                "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/v2-0338: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0338 vs http://hl7.org/fhir/v2/0338"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0338"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0339",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0339",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0339: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1331
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0339: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2685
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0339'"
            },
            "expression": [
              "CodeSystem/v2-0339: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0339: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3305
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0339: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3305
              },
              {
                "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/v2-0339: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0339 vs http://hl7.org/fhir/v2/0339"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0339"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0344",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0344",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4092
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0344: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4066
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0344: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0344'"
            },
            "expression": [
              "CodeSystem/v2-0344: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0344: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8068
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0344: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8068
              },
              {
                "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/v2-0344: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0344 vs http://hl7.org/fhir/v2/0344"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0344"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0350",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0350",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0350: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12312
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0350: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0350'"
            },
            "expression": [
              "CodeSystem/v2-0350: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0350: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23559
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0350: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0350: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23559
              },
              {
                "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/v2-0350: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0350 vs http://hl7.org/fhir/v2/0350"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0350"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0351",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0351",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0351: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2861
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0351: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0351'"
            },
            "expression": [
              "CodeSystem/v2-0351: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0351: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5892
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0351: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0351: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5892
              },
              {
                "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/v2-0351: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0351 vs http://hl7.org/fhir/v2/0351"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0351"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0354",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0354",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38236
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0354'"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71487
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71487
              },
              {
                "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/v2-0354: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v2-0354: CodeSystem.concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0354 vs http://hl7.org/fhir/v2/0354"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0354"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0355",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0355",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0355: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0355: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0355'"
            },
            "expression": [
              "CodeSystem/v2-0355: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0355: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2708
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0355: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2708
              },
              {
                "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/v2-0355: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0355 vs http://hl7.org/fhir/v2/0355"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0355"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0356",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0356",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0356: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1616
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0356: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2984
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0356'"
            },
            "expression": [
              "CodeSystem/v2-0356: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0356: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0356: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/v2-0356: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0356 vs http://hl7.org/fhir/v2/0356"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0356"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0357",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0357",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0357: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3543
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0357: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4891
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0357'"
            },
            "expression": [
              "CodeSystem/v2-0357: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0357: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7337
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0357: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7337
              },
              {
                "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/v2-0357: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0357 vs http://hl7.org/fhir/v2/0357"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0357"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0359",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0359",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0359: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2134
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0359: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0359'"
            },
            "expression": [
              "CodeSystem/v2-0359: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0359: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4572
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0359: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0359: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v2-0359: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4572
              },
              {
                "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/v2-0359: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0359 vs http://hl7.org/fhir/v2/0359"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0359"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0363",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0363",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0363: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4925
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0363: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0363'"
            },
            "expression": [
              "CodeSystem/v2-0363: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0363: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9057
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0363: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0363: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9057
              },
              {
                "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/v2-0363: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0363 vs http://hl7.org/fhir/v2/0363"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0363"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0364",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0364",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0364: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1658
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0364: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0364'"
            },
            "expression": [
              "CodeSystem/v2-0364: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0364: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3862
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0364: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3862
              },
              {
                "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/v2-0364: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0364 vs http://hl7.org/fhir/v2/0364"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0364"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0365",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0365",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0365: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3198
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0365: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0365'"
            },
            "expression": [
              "CodeSystem/v2-0365: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0365: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6424
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0365: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0365: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6424
              },
              {
                "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/v2-0365: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0365 vs http://hl7.org/fhir/v2/0365"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0365"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0366",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0366",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0366: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1721
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0366: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0366'"
            },
            "expression": [
              "CodeSystem/v2-0366: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0366: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3830
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0366: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0366: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3830
              },
              {
                "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/v2-0366: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0366 vs http://hl7.org/fhir/v2/0366"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0366"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0367",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0367",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0367: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1955
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0367: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0367'"
            },
            "expression": [
              "CodeSystem/v2-0367: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0367: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4214
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0367: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0367: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4214
              },
              {
                "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/v2-0367: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0367 vs http://hl7.org/fhir/v2/0367"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0367"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0368",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0368",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0368: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3268
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0368: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4602
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0368'"
            },
            "expression": [
              "CodeSystem/v2-0368: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0368: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6803
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0368: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6803
              },
              {
                "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/v2-0368: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0368 vs http://hl7.org/fhir/v2/0368"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0368"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0369",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0369",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0369: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3017
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0369: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0369'"
            },
            "expression": [
              "CodeSystem/v2-0369: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0369: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6524
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0369: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6524
              },
              {
                "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/v2-0369: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0369 vs http://hl7.org/fhir/v2/0369"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0369"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0370",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0370",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0370: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1579
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0370: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0370'"
            },
            "expression": [
              "CodeSystem/v2-0370: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0370: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3720
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0370: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3720
              },
              {
                "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/v2-0370: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0370 vs http://hl7.org/fhir/v2/0370"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0370"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0371",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0371",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7278
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0371: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7252
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0371: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0371'"
            },
            "expression": [
              "CodeSystem/v2-0371: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/v2-0371: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11574
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0371: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11574
              },
              {
                "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/v2-0371: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0371 vs http://hl7.org/fhir/v2/0371"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0371"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0372",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0372",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0372: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1466
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0372: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0372'"
            },
            "expression": [
              "CodeSystem/v2-0372: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0372: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3230
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0372: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3230
              },
              {
                "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/v2-0372: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0372 vs http://hl7.org/fhir/v2/0372"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0372"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0373",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0373",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0373: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1406
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0373: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0373'"
            },
            "expression": [
              "CodeSystem/v2-0373: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0373: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3087
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0373: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3087
              },
              {
                "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/v2-0373: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0373 vs http://hl7.org/fhir/v2/0373"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0373"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0374",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0374",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0374: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 803
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0374: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0374'"
            },
            "expression": [
              "CodeSystem/v2-0374: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0374: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2342
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0374: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2342
              },
              {
                "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/v2-0374: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0374 vs http://hl7.org/fhir/v2/0374"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0374"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0375",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0375",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0375: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 809
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0375: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0375'"
            },
            "expression": [
              "CodeSystem/v2-0375: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0375: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2272
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0375: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2272
              },
              {
                "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/v2-0375: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0375 vs http://hl7.org/fhir/v2/0375"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0375"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0376",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0376",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0376: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2369
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0376: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0376'"
            },
            "expression": [
              "CodeSystem/v2-0376: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0376: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0376: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/v2-0376: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0376 vs http://hl7.org/fhir/v2/0376"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0376"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0377",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0377",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 891
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0377: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 865
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0377: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0377'"
            },
            "expression": [
              "CodeSystem/v2-0377: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2408
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0377: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2408
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0377: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2408
              },
              {
                "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/v2-0377: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0377 vs http://hl7.org/fhir/v2/0377"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0377"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0383",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0383",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0383: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2001
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0383: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0383'"
            },
            "expression": [
              "CodeSystem/v2-0383: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0383: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4487
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0383: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4487
              },
              {
                "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/v2-0383: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0383 vs http://hl7.org/fhir/v2/0383"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0383"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0384",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0384",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0384: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1888
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0384: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0384'"
            },
            "expression": [
              "CodeSystem/v2-0384: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0384: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3783
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0384: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3783
              },
              {
                "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/v2-0384: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0384 vs http://hl7.org/fhir/v2/0384"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0384"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0387",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0387",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1688
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0387: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1662
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0387: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2984
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0387'"
            },
            "expression": [
              "CodeSystem/v2-0387: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0387: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3947
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0387: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3947
              },
              {
                "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/v2-0387: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0387 vs http://hl7.org/fhir/v2/0387"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0387"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0388",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0388",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0388: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 860
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0388: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0388'"
            },
            "expression": [
              "CodeSystem/v2-0388: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0388: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2412
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0388: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2412
              },
              {
                "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/v2-0388: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0388 vs http://hl7.org/fhir/v2/0388"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0388"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0389",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0389",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0389: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0389: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0389'"
            },
            "expression": [
              "CodeSystem/v2-0389: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2540
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0389: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2540
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0389: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2540
              },
              {
                "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/v2-0389: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0389 vs http://hl7.org/fhir/v2/0389"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0389"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0392",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0392",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0392: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1202
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0392: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0392'"
            },
            "expression": [
              "CodeSystem/v2-0392: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0392: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3042
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0392: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3042
              },
              {
                "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/v2-0392: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0392 vs http://hl7.org/fhir/v2/0392"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0392"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0393",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0393",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0393: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0393: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2340
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0393'"
            },
            "expression": [
              "CodeSystem/v2-0393: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0393: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2702
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0393: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2702
              },
              {
                "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/v2-0393: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0393 vs http://hl7.org/fhir/v2/0393"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0393"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0394",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0394",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0394: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0394: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0394'"
            },
            "expression": [
              "CodeSystem/v2-0394: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0394: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2888
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0394: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2888
              },
              {
                "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/v2-0394: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0394 vs http://hl7.org/fhir/v2/0394"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0394"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0395",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0395",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0395: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 877
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0395: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0395'"
            },
            "expression": [
              "CodeSystem/v2-0395: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0395: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2448
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0395: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2448
              },
              {
                "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/v2-0395: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0395 vs http://hl7.org/fhir/v2/0395"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0395"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0396",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0396",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0396: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28653
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0396: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0396'"
            },
            "expression": [
              "CodeSystem/v2-0396: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0396: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50362
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0396: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0396: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50362
              },
              {
                "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/v2-0396: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0396 vs http://hl7.org/fhir/v2/0396"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0396"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0397",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0397",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0397: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1253
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0397: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0397'"
            },
            "expression": [
              "CodeSystem/v2-0397: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0397: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3120
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0397: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3120
              },
              {
                "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/v2-0397: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0397 vs http://hl7.org/fhir/v2/0397"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0397"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0398",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0398",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0398: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 877
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0398: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0398'"
            },
            "expression": [
              "CodeSystem/v2-0398: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0398: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2462
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0398: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2462
              },
              {
                "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/v2-0398: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0398 vs http://hl7.org/fhir/v2/0398"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0398"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0401",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0401",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0401: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 838
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0401: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0401'"
            },
            "expression": [
              "CodeSystem/v2-0401: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0401: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2401
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0401: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2401
              },
              {
                "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/v2-0401: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0401 vs http://hl7.org/fhir/v2/0401"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0401"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0402",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0402",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1066
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0402: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0402: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0402'"
            },
            "expression": [
              "CodeSystem/v2-0402: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0402: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2638
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0402: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2638
              },
              {
                "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/v2-0402: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0402 vs http://hl7.org/fhir/v2/0402"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0402"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0403",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0403",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0403: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0403: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0403'"
            },
            "expression": [
              "CodeSystem/v2-0403: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0403: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2930
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0403: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2930
              },
              {
                "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/v2-0403: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0403 vs http://hl7.org/fhir/v2/0403"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0403"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0404",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0404",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0404: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1274
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0404: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2604
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0404'"
            },
            "expression": [
              "CodeSystem/v2-0404: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3162
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0404: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3162
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0404: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3162
              },
              {
                "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/v2-0404: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0404 vs http://hl7.org/fhir/v2/0404"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0404"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0406",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0406",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0406: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1406
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0406: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0406'"
            },
            "expression": [
              "CodeSystem/v2-0406: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3408
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0406: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3408
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0406: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3408
              },
              {
                "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/v2-0406: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0406 vs http://hl7.org/fhir/v2/0406"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0406"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0409",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0409",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0409: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 985
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0409: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0409'"
            },
            "expression": [
              "CodeSystem/v2-0409: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2654
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0409: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2654
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0409: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2654
              },
              {
                "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/v2-0409: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0409 vs http://hl7.org/fhir/v2/0409"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0409"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0411",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0411",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6145
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0411: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6119
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0411: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0411'"
            },
            "expression": [
              "CodeSystem/v2-0411: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0411: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10928
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0411: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0411: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10928
              },
              {
                "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/v2-0411: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0411 vs http://hl7.org/fhir/v2/0411"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0411"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0415",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0415",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0415: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 772
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0415: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0415'"
            },
            "expression": [
              "CodeSystem/v2-0415: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0415: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2198
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0415: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2198
              },
              {
                "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/v2-0415: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0415 vs http://hl7.org/fhir/v2/0415"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0415"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0416",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0416",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0416: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1236
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0416: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0416'"
            },
            "expression": [
              "CodeSystem/v2-0416: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0416: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3104
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0416: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3104
              },
              {
                "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/v2-0416: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0416 vs http://hl7.org/fhir/v2/0416"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0416"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0417",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0417",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0417: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1942
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0417: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0417'"
            },
            "expression": [
              "CodeSystem/v2-0417: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3902
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0417: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3902
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0417: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3902
              },
              {
                "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/v2-0417: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0417 vs http://hl7.org/fhir/v2/0417"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0417"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0418",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0418",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0418: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1812
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0418: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0418'"
            },
            "expression": [
              "CodeSystem/v2-0418: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0418: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3869
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0418: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0418: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v2-0418: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3869
              },
              {
                "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/v2-0418: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0418 vs http://hl7.org/fhir/v2/0418"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0418"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0421",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0421",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0421: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 941
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0421: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0421'"
            },
            "expression": [
              "CodeSystem/v2-0421: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0421: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2567
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0421: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2567
              },
              {
                "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/v2-0421: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0421 vs http://hl7.org/fhir/v2/0421"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0421"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0422",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0422",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0422: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1292
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0422: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2604
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0422'"
            },
            "expression": [
              "CodeSystem/v2-0422: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0422: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3179
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0422: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3179
              },
              {
                "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/v2-0422: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0422 vs http://hl7.org/fhir/v2/0422"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0422"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0423",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0423",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0423: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 685
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0423: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0423'"
            },
            "expression": [
              "CodeSystem/v2-0423: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2093
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0423: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2093
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0423: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2093
              },
              {
                "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/v2-0423: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0423 vs http://hl7.org/fhir/v2/0423"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0423"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0424",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0424",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0424: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0424: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0424'"
            },
            "expression": [
              "CodeSystem/v2-0424: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0424: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2624
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0424: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2624
              },
              {
                "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/v2-0424: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0424 vs http://hl7.org/fhir/v2/0424"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0424"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0425",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0425",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0425: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1540
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0425: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2854
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0425'"
            },
            "expression": [
              "CodeSystem/v2-0425: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0425: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3538
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0425: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3538
              },
              {
                "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/v2-0425: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0425 vs http://hl7.org/fhir/v2/0425"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0425"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0426",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0426",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2278
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0426: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2252
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0426: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0426'"
            },
            "expression": [
              "CodeSystem/v2-0426: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0426: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4368
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0426: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4368
              },
              {
                "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/v2-0426: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0426 vs http://hl7.org/fhir/v2/0426"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0426"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0427",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0427",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0427: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2138
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0427: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3486
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0427'"
            },
            "expression": [
              "CodeSystem/v2-0427: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0427: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4199
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0427: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4199
              },
              {
                "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/v2-0427: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0427 vs http://hl7.org/fhir/v2/0427"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0427"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0428",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0428",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0428: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0428: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2280
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0428'"
            },
            "expression": [
              "CodeSystem/v2-0428: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0428: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2584
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0428: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2584
              },
              {
                "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/v2-0428: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0428 vs http://hl7.org/fhir/v2/0428"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0428"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0429",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0429",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0429: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1977
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0429: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0429'"
            },
            "expression": [
              "CodeSystem/v2-0429: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4345
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0429: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4345
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0429: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4345
              },
              {
                "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/v2-0429: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0429 vs http://hl7.org/fhir/v2/0429"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0429"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0430",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0430",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0430: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1793
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0430: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0430'"
            },
            "expression": [
              "CodeSystem/v2-0430: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0430: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4047
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0430: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4047
              },
              {
                "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/v2-0430: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0430 vs http://hl7.org/fhir/v2/0430"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0430"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0431",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0431",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0431: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1796
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0431: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0431'"
            },
            "expression": [
              "CodeSystem/v2-0431: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0431: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4065
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0431: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4065
              },
              {
                "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/v2-0431: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0431 vs http://hl7.org/fhir/v2/0431"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0431"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0432",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0432",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0432: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1629
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0432: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0432'"
            },
            "expression": [
              "CodeSystem/v2-0432: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3715
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0432: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3715
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0432: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3715
              },
              {
                "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/v2-0432: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0432 vs http://hl7.org/fhir/v2/0432"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0432"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0433",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0433",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0433: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2091
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0433: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0433'"
            },
            "expression": [
              "CodeSystem/v2-0433: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0433: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4488
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0433: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4488
              },
              {
                "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/v2-0433: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0433 vs http://hl7.org/fhir/v2/0433"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0433"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0434",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0434",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0434: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1618
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0434: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0434'"
            },
            "expression": [
              "CodeSystem/v2-0434: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0434: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3722
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0434: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3722
              },
              {
                "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/v2-0434: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0434 vs http://hl7.org/fhir/v2/0434"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0434"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0435",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0435",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0435: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 872
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0435: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0435'"
            },
            "expression": [
              "CodeSystem/v2-0435: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0435: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2448
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0435: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2448
              },
              {
                "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/v2-0435: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0435 vs http://hl7.org/fhir/v2/0435"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0435"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0436",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0436",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0436: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1278
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0436: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0436'"
            },
            "expression": [
              "CodeSystem/v2-0436: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0436: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3217
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0436: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3217
              },
              {
                "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/v2-0436: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0436 vs http://hl7.org/fhir/v2/0436"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0436"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0437",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0437",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0437: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1193
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0437: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0437'"
            },
            "expression": [
              "CodeSystem/v2-0437: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0437: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2896
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0437: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2896
              },
              {
                "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/v2-0437: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0437 vs http://hl7.org/fhir/v2/0437"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0437"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0438",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0438",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0438: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1461
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0438: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0438'"
            },
            "expression": [
              "CodeSystem/v2-0438: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0438: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0438: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v2-0438: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0438 vs http://hl7.org/fhir/v2/0438"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0438"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0440",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0440",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0440: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14963
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0440: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0440'"
            },
            "expression": [
              "CodeSystem/v2-0440: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0440: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27576
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0440: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0440: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27576
              },
              {
                "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/v2-0440: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0440 vs http://hl7.org/fhir/v2/0440"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0440"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0441",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0441",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0441: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1471
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0441: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0441'"
            },
            "expression": [
              "CodeSystem/v2-0441: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3345
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0441: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3345
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0441: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3345
              },
              {
                "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/v2-0441: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0441 vs http://hl7.org/fhir/v2/0441"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0441"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0442",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0442",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0442: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0442: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0442'"
            },
            "expression": [
              "CodeSystem/v2-0442: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0442: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2498
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0442: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2498
              },
              {
                "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/v2-0442: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0442 vs http://hl7.org/fhir/v2/0442"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0442"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0443",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0443",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0443: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5470
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0443: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0443'"
            },
            "expression": [
              "CodeSystem/v2-0443: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0443: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10561
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0443: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10561
              },
              {
                "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/v2-0443: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0443 vs http://hl7.org/fhir/v2/0443"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0443"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0444",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0444",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0444: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0444: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0444'"
            },
            "expression": [
              "CodeSystem/v2-0444: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0444: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2928
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0444: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2928
              },
              {
                "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/v2-0444: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0444 vs http://hl7.org/fhir/v2/0444"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0444"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0445",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0445",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0445: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1045
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0445: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0445'"
            },
            "expression": [
              "CodeSystem/v2-0445: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2648
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0445: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2648
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0445: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2648
              },
              {
                "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/v2-0445: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0445 vs http://hl7.org/fhir/v2/0445"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0445"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0450",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0450",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0450: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 778
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0450: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0450'"
            },
            "expression": [
              "CodeSystem/v2-0450: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0450: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2200
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0450: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2200
              },
              {
                "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/v2-0450: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0450 vs http://hl7.org/fhir/v2/0450"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0450"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0455",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0455",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0455: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1917
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0455: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0455'"
            },
            "expression": [
              "CodeSystem/v2-0455: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3992
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0455: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3992
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0455: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3992
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0455: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3992
              },
              {
                "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/v2-0455: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0455 vs http://hl7.org/fhir/v2/0455"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0455"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0456",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0456",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2589
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0456: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2563
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0456: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0456'"
            },
            "expression": [
              "CodeSystem/v2-0456: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0456: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5328
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0456: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0456: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5328
              },
              {
                "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/v2-0456: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0456 vs http://hl7.org/fhir/v2/0456"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0456"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0457",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0457",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0457: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1311
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0457: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0457'"
            },
            "expression": [
              "CodeSystem/v2-0457: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0457: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3136
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0457: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3136
              },
              {
                "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/v2-0457: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0457 vs http://hl7.org/fhir/v2/0457"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0457"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0459",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0459",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0459: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1147
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0459: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0459'"
            },
            "expression": [
              "CodeSystem/v2-0459: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0459: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2856
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0459: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2856
              },
              {
                "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/v2-0459: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0459 vs http://hl7.org/fhir/v2/0459"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0459"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0460",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0460",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0460: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0460: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0460'"
            },
            "expression": [
              "CodeSystem/v2-0460: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0460: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2666
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0460: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2666
              },
              {
                "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/v2-0460: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0460 vs http://hl7.org/fhir/v2/0460"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0460"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0465",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0465",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0465: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0465: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0465'"
            },
            "expression": [
              "CodeSystem/v2-0465: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0465: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2650
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0465: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2650
              },
              {
                "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/v2-0465: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0465 vs http://hl7.org/fhir/v2/0465"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0465"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0466",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0466",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0466: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0466: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0466'"
            },
            "expression": [
              "CodeSystem/v2-0466: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0466: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2862
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0466: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v2-0466: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2862
              },
              {
                "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/v2-0466: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0466 vs http://hl7.org/fhir/v2/0466"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0466"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0468",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0468",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0468: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1337
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0468: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0468'"
            },
            "expression": [
              "CodeSystem/v2-0468: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0468: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3174
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0468: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3174
              },
              {
                "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/v2-0468: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0468 vs http://hl7.org/fhir/v2/0468"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0468"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0469",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0469",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0469: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1274
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0469: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0469'"
            },
            "expression": [
              "CodeSystem/v2-0469: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0469: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3230
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0469: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3230
              },
              {
                "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/v2-0469: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0469 vs http://hl7.org/fhir/v2/0469"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0469"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0470",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0470",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0470: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1685
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0470: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0470'"
            },
            "expression": [
              "CodeSystem/v2-0470: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3554
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0470: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3554
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0470: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3554
              },
              {
                "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/v2-0470: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0470 vs http://hl7.org/fhir/v2/0470"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0470"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0472",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0472",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0472: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0472: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0472'"
            },
            "expression": [
              "CodeSystem/v2-0472: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2604
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0472: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2604
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0472: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2604
              },
              {
                "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/v2-0472: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0472 vs http://hl7.org/fhir/v2/0472"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0472"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0473",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0473",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0473: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1424
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0473: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2746
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0473'"
            },
            "expression": [
              "CodeSystem/v2-0473: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0473: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3498
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0473: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3498
              },
              {
                "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/v2-0473: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0473 vs http://hl7.org/fhir/v2/0473"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0473"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0474",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0474",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0474: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2012
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0474: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0474'"
            },
            "expression": [
              "CodeSystem/v2-0474: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4303
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0474: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4303
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0474: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4303
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0474: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4303
              },
              {
                "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/v2-0474: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0474 vs http://hl7.org/fhir/v2/0474"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0474"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0475",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0475",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0475: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1225
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0475: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0475'"
            },
            "expression": [
              "CodeSystem/v2-0475: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0475: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3077
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0475: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3077
              },
              {
                "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/v2-0475: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0475 vs http://hl7.org/fhir/v2/0475"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0475"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0477",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0477",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0477: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0477: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0477'"
            },
            "expression": [
              "CodeSystem/v2-0477: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0477: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2767
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0477: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2767
              },
              {
                "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/v2-0477: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0477 vs http://hl7.org/fhir/v2/0477"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0477"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0478",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0478",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0478: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1463
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0478: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0478'"
            },
            "expression": [
              "CodeSystem/v2-0478: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0478: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3576
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0478: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3576
              },
              {
                "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/v2-0478: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0478 vs http://hl7.org/fhir/v2/0478"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0478"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0480",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0480",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0480: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 902
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0480: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0480'"
            },
            "expression": [
              "CodeSystem/v2-0480: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0480: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2414
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0480: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2414
              },
              {
                "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/v2-0480: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0480 vs http://hl7.org/fhir/v2/0480"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0480"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0482",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0482",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0482: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 875
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0482: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0482'"
            },
            "expression": [
              "CodeSystem/v2-0482: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0482: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2432
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0482: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2432
              },
              {
                "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/v2-0482: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0482 vs http://hl7.org/fhir/v2/0482"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0482"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0483",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0483",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0483: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1763
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0483: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0483'"
            },
            "expression": [
              "CodeSystem/v2-0483: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0483: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4038
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0483: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4038
              },
              {
                "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/v2-0483: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0483 vs http://hl7.org/fhir/v2/0483"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0483"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0484",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0484",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0484: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1508
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0484: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2824
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0484'"
            },
            "expression": [
              "CodeSystem/v2-0484: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0484: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3264
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0484: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3264
              },
              {
                "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/v2-0484: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0484 vs http://hl7.org/fhir/v2/0484"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0484"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0485",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0485",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0485: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2685
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0485: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0485'"
            },
            "expression": [
              "CodeSystem/v2-0485: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0485: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5642
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0485: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5642
              },
              {
                "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/v2-0485: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0485 vs http://hl7.org/fhir/v2/0485"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0485"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0487",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0487",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0487: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49375
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0487: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0487'"
            },
            "expression": [
              "CodeSystem/v2-0487: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/v2-0487: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69870
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0487: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0487: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69870
              },
              {
                "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/v2-0487: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0487 vs http://hl7.org/fhir/v2/0487"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0487"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0488",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0488",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0488: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5099
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0488: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6441
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0488'"
            },
            "expression": [
              "CodeSystem/v2-0488: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0488: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8443
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0488: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8443
              },
              {
                "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/v2-0488: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0488 vs http://hl7.org/fhir/v2/0488"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0488"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0489",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0489",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0489: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1685
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0489: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0489'"
            },
            "expression": [
              "CodeSystem/v2-0489: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3474
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0489: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3474
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0489: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3474
              },
              {
                "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/v2-0489: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0489 vs http://hl7.org/fhir/v2/0489"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0489"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0490",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0490",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0490: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2013
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0490: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0490'"
            },
            "expression": [
              "CodeSystem/v2-0490: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0490: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3988
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0490: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3988
              },
              {
                "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/v2-0490: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0490 vs http://hl7.org/fhir/v2/0490"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0490"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0491",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0491",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0491: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0491: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0491'"
            },
            "expression": [
              "CodeSystem/v2-0491: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0491: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2418
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0491: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2418
              },
              {
                "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/v2-0491: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0491 vs http://hl7.org/fhir/v2/0491"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0491"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0492",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0492",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0492: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1575
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0492: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0492'"
            },
            "expression": [
              "CodeSystem/v2-0492: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0492: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3435
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0492: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0492: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3435
              },
              {
                "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/v2-0492: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0492 vs http://hl7.org/fhir/v2/0492"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0492"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0493",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0493",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0493: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1567
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0493: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0493'"
            },
            "expression": [
              "CodeSystem/v2-0493: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0493: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3309
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0493: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3309
              },
              {
                "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/v2-0493: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0493 vs http://hl7.org/fhir/v2/0493"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0493"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0494",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0494",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0494: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0494: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0494'"
            },
            "expression": [
              "CodeSystem/v2-0494: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0494: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2366
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0494: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2366
              },
              {
                "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/v2-0494: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0494 vs http://hl7.org/fhir/v2/0494"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0494"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0495",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0495",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0495: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2267
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0495: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0495'"
            },
            "expression": [
              "CodeSystem/v2-0495: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0495: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4283
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0495: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4283
              },
              {
                "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/v2-0495: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0495 vs http://hl7.org/fhir/v2/0495"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0495"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0496",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0496",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0496: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15924
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0496: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0496'"
            },
            "expression": [
              "CodeSystem/v2-0496: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0496: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24355
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0496: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24355
              },
              {
                "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/v2-0496: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0496 vs http://hl7.org/fhir/v2/0496"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0496"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0497",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0497",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0497: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0497: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0497'"
            },
            "expression": [
              "CodeSystem/v2-0497: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0497: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2562
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0497: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2562
              },
              {
                "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/v2-0497: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0497 vs http://hl7.org/fhir/v2/0497"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0497"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0498",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0498",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0498: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1727
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0498: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0498'"
            },
            "expression": [
              "CodeSystem/v2-0498: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4056
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0498: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4056
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0498: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4056
              },
              {
                "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/v2-0498: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0498 vs http://hl7.org/fhir/v2/0498"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0498"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0499",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0499",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0499: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 866
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0499: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0499'"
            },
            "expression": [
              "CodeSystem/v2-0499: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0499: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2435
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0499: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2435
              },
              {
                "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/v2-0499: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0499 vs http://hl7.org/fhir/v2/0499"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0499"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0500",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0500",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0500: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1005
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0500: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0500'"
            },
            "expression": [
              "CodeSystem/v2-0500: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0500: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2698
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0500: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2698
              },
              {
                "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/v2-0500: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0500 vs http://hl7.org/fhir/v2/0500"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0500"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0501",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0501",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0501: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0501: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0501'"
            },
            "expression": [
              "CodeSystem/v2-0501: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2654
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0501: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2654
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0501: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2654
              },
              {
                "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/v2-0501: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0501 vs http://hl7.org/fhir/v2/0501"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0501"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0502",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0502",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1079
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0502: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0502: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0502'"
            },
            "expression": [
              "CodeSystem/v2-0502: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0502: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2798
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0502: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2798
              },
              {
                "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/v2-0502: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0502 vs http://hl7.org/fhir/v2/0502"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0502"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0503",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0503",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0503: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 873
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0503: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0503'"
            },
            "expression": [
              "CodeSystem/v2-0503: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0503: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2358
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0503: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2358
              },
              {
                "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/v2-0503: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0503 vs http://hl7.org/fhir/v2/0503"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0503"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0504",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0504",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0504: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0504: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0504'"
            },
            "expression": [
              "CodeSystem/v2-0504: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2898
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0504: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2898
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0504: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2898
              },
              {
                "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/v2-0504: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0504 vs http://hl7.org/fhir/v2/0504"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0504"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0505",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0505",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0505: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0505: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0505'"
            },
            "expression": [
              "CodeSystem/v2-0505: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0505: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2694
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0505: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2694
              },
              {
                "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/v2-0505: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0505 vs http://hl7.org/fhir/v2/0505"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0505"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0506",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0506",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0506: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0506: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0506'"
            },
            "expression": [
              "CodeSystem/v2-0506: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2618
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0506: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2618
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0506: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2618
              },
              {
                "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/v2-0506: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0506 vs http://hl7.org/fhir/v2/0506"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0506"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0507",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0507",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0507: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1715
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0507: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0507'"
            },
            "expression": [
              "CodeSystem/v2-0507: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0507: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0507: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0507: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/v2-0507: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0507 vs http://hl7.org/fhir/v2/0507"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0507"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0508",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0508",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0508: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1657
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0508: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0508'"
            },
            "expression": [
              "CodeSystem/v2-0508: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0508: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3483
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0508: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3483
              },
              {
                "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/v2-0508: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0508 vs http://hl7.org/fhir/v2/0508"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0508"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0510",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0510",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0510: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1989
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0510: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0510'"
            },
            "expression": [
              "CodeSystem/v2-0510: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0510: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4131
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0510: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4131
              },
              {
                "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/v2-0510: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0510 vs http://hl7.org/fhir/v2/0510"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0510"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0511",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0511",
        "issue": [
          {
            "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": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0511: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1347
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0511: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0511'"
            },
            "expression": [
              "CodeSystem/v2-0511: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0511: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3174
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0511: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3174
              },
              {
                "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/v2-0511: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0511 vs http://hl7.org/fhir/v2/0511"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0511"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0513",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0513",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0513: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1178
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0513: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0513'"
            },
            "expression": [
              "CodeSystem/v2-0513: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0513: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2893
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0513: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2893
              },
              {
                "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/v2-0513: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0513 vs http://hl7.org/fhir/v2/0513"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0513"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0514",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0514",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0514: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3143
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0514: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0514'"
            },
            "expression": [
              "CodeSystem/v2-0514: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0514: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5856
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0514: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5856
              },
              {
                "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/v2-0514: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0514 vs http://hl7.org/fhir/v2/0514"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0514"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0516",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0516",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0516: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1042
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0516: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0516'"
            },
            "expression": [
              "CodeSystem/v2-0516: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0516: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2691
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0516: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2691
              },
              {
                "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/v2-0516: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0516 vs http://hl7.org/fhir/v2/0516"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0516"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0517",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0517",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0517: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0517: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0517'"
            },
            "expression": [
              "CodeSystem/v2-0517: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0517: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2528
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0517: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2528
              },
              {
                "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/v2-0517: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0517 vs http://hl7.org/fhir/v2/0517"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0517"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0518",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0518",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0518: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0518: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0518'"
            },
            "expression": [
              "CodeSystem/v2-0518: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0518: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2394
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0518: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2394
              },
              {
                "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/v2-0518: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0518 vs http://hl7.org/fhir/v2/0518"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0518"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0520",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0520",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0520: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 845
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0520: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0520'"
            },
            "expression": [
              "CodeSystem/v2-0520: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0520: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2308
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0520: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2308
              },
              {
                "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/v2-0520: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0520 vs http://hl7.org/fhir/v2/0520"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0520"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0523",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0523",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 915
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0523: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 889
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0523: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0523'"
            },
            "expression": [
              "CodeSystem/v2-0523: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0523: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2470
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0523: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2470
              },
              {
                "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/v2-0523: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0523 vs http://hl7.org/fhir/v2/0523"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0523"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0524",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0524",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0524: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1521
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0524: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0524'"
            },
            "expression": [
              "CodeSystem/v2-0524: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0524: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3483
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0524: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0524: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3483
              },
              {
                "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/v2-0524: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0524 vs http://hl7.org/fhir/v2/0524"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0524"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0527",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0527",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0527: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1630
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0527: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0527'"
            },
            "expression": [
              "CodeSystem/v2-0527: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3820
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0527: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3820
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0527: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3820
              },
              {
                "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/v2-0527: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0527 vs http://hl7.org/fhir/v2/0527"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0527"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0528",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0528",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0528: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2215
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0528: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0528'"
            },
            "expression": [
              "CodeSystem/v2-0528: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4438
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0528: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4438
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0528: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4438
              },
              {
                "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/v2-0528: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0528 vs http://hl7.org/fhir/v2/0528"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0528"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0529",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0529",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0529: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1894
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0529: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0529'"
            },
            "expression": [
              "CodeSystem/v2-0529: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0529: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0529: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0529: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/v2-0529: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0529 vs http://hl7.org/fhir/v2/0529"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0529"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0530",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0530",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0530: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1191
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0530: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0530'"
            },
            "expression": [
              "CodeSystem/v2-0530: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2834
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0530: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2834
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0530: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2834
              },
              {
                "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/v2-0530: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0530 vs http://hl7.org/fhir/v2/0530"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0530"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0534",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0534",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0534: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1453
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0534: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0534'"
            },
            "expression": [
              "CodeSystem/v2-0534: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0534: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3347
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0534: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3347
              },
              {
                "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/v2-0534: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0534 vs http://hl7.org/fhir/v2/0534"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0534"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0535",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0535",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0535: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1335
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0535: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0535'"
            },
            "expression": [
              "CodeSystem/v2-0535: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0535: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3210
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0535: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3210
              },
              {
                "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/v2-0535: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0535 vs http://hl7.org/fhir/v2/0535"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0535"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0536",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0536",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0536: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1164
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0536: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0536'"
            },
            "expression": [
              "CodeSystem/v2-0536: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0536: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2921
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0536: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2921
              },
              {
                "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/v2-0536: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0536 vs http://hl7.org/fhir/v2/0536"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0536"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0538",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0538",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0538: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0538: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0538'"
            },
            "expression": [
              "CodeSystem/v2-0538: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2629
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0538: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2629
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0538: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2629
              },
              {
                "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/v2-0538: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0538 vs http://hl7.org/fhir/v2/0538"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0538"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0540",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0540",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0540: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 956
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0540: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0540'"
            },
            "expression": [
              "CodeSystem/v2-0540: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0540: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2592
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0540: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2592
              },
              {
                "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/v2-0540: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0540 vs http://hl7.org/fhir/v2/0540"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0540"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0544",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0544",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0544: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4767
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0544: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0544'"
            },
            "expression": [
              "CodeSystem/v2-0544: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0544: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7628
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0544: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0544: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7628
              },
              {
                "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/v2-0544: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0544 vs http://hl7.org/fhir/v2/0544"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0544"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0547",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0547",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0547: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0547: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0547'"
            },
            "expression": [
              "CodeSystem/v2-0547: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0547: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2523
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0547: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2523
              },
              {
                "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/v2-0547: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0547 vs http://hl7.org/fhir/v2/0547"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0547"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0548",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0548",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0548: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1480
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0548: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0548'"
            },
            "expression": [
              "CodeSystem/v2-0548: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0548: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3338
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0548: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3338
              },
              {
                "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/v2-0548: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0548 vs http://hl7.org/fhir/v2/0548"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0548"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0550",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0550",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0550: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48095
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0550: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0550'"
            },
            "expression": [
              "CodeSystem/v2-0550: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 67323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0550: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 67323
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0550: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 67323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0550: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 67323
              },
              {
                "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/v2-0550: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0550 vs http://hl7.org/fhir/v2/0550"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0550"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0553",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0553",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0553: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2502
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0553: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0553'"
            },
            "expression": [
              "CodeSystem/v2-0553: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0553: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4785
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0553: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4785
              },
              {
                "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/v2-0553: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0553 vs http://hl7.org/fhir/v2/0553"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0553"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0554",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0554",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0554: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 904
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0554: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0554'"
            },
            "expression": [
              "CodeSystem/v2-0554: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0554: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2410
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0554: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2410
              },
              {
                "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/v2-0554: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0554 vs http://hl7.org/fhir/v2/0554"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0554"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0555",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0555",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0555: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1532
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0555: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0555'"
            },
            "expression": [
              "CodeSystem/v2-0555: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0555: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3242
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0555: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3242
              },
              {
                "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/v2-0555: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0555 vs http://hl7.org/fhir/v2/0555"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0555"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0556",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0556",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0556: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 779
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0556: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0556'"
            },
            "expression": [
              "CodeSystem/v2-0556: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0556: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2207
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0556: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2207
              },
              {
                "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/v2-0556: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0556 vs http://hl7.org/fhir/v2/0556"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0556"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0557",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0557",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0557: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0557: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0557'"
            },
            "expression": [
              "CodeSystem/v2-0557: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0557: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2481
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0557: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2481
              },
              {
                "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/v2-0557: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0557 vs http://hl7.org/fhir/v2/0557"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0557"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0558",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0558",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0558: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0558: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0558'"
            },
            "expression": [
              "CodeSystem/v2-0558: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0558: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2492
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0558: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2492
              },
              {
                "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/v2-0558: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0558 vs http://hl7.org/fhir/v2/0558"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0558"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0559",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0559",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0559: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 855
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0559: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0559'"
            },
            "expression": [
              "CodeSystem/v2-0559: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0559: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2324
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0559: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2324
              },
              {
                "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/v2-0559: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0559 vs http://hl7.org/fhir/v2/0559"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0559"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0561",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0561",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0561: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1342
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0561: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0561'"
            },
            "expression": [
              "CodeSystem/v2-0561: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0561: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3073
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0561: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3073
              },
              {
                "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/v2-0561: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0561 vs http://hl7.org/fhir/v2/0561"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0561"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0562",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0562",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0562: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1293
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0562: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0562'"
            },
            "expression": [
              "CodeSystem/v2-0562: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0562: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3017
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0562: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3017
              },
              {
                "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/v2-0562: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0562 vs http://hl7.org/fhir/v2/0562"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0562"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0564",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0564",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0564: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0564: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0564'"
            },
            "expression": [
              "CodeSystem/v2-0564: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0564: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2550
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0564: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2550
              },
              {
                "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/v2-0564: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0564 vs http://hl7.org/fhir/v2/0564"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0564"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0565",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0565",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0565: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1111
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0565: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0565'"
            },
            "expression": [
              "CodeSystem/v2-0565: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0565: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2726
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0565: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2726
              },
              {
                "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/v2-0565: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0565 vs http://hl7.org/fhir/v2/0565"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0565"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0566",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0566",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0566: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1281
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0566: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0566'"
            },
            "expression": [
              "CodeSystem/v2-0566: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0566: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2916
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0566: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2916
              },
              {
                "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/v2-0566: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0566 vs http://hl7.org/fhir/v2/0566"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0566"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0569",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0569",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0569: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 885
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0569: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0569'"
            },
            "expression": [
              "CodeSystem/v2-0569: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0569: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2368
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0569: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2368
              },
              {
                "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/v2-0569: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0569 vs http://hl7.org/fhir/v2/0569"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0569"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0570",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0570",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0570: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1694
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0570: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0570'"
            },
            "expression": [
              "CodeSystem/v2-0570: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0570: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3560
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0570: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3560
              },
              {
                "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/v2-0570: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0570 vs http://hl7.org/fhir/v2/0570"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0570"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0571",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0571",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0571: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1424
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0571: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2780
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0571'"
            },
            "expression": [
              "CodeSystem/v2-0571: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0571: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3166
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0571: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3166
              },
              {
                "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/v2-0571: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0571 vs http://hl7.org/fhir/v2/0571"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0571"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0572",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0572",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0572: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 814
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0572: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0572'"
            },
            "expression": [
              "CodeSystem/v2-0572: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0572: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2270
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0572: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2270
              },
              {
                "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/v2-0572: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0572 vs http://hl7.org/fhir/v2/0572"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0572"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0615",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0615",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0615: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 820
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0615: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0615'"
            },
            "expression": [
              "CodeSystem/v2-0615: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0615: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2342
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0615: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2342
              },
              {
                "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/v2-0615: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0615 vs http://hl7.org/fhir/v2/0615"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0615"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0616",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0616",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0616: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0616: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0616'"
            },
            "expression": [
              "CodeSystem/v2-0616: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0616: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2470
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0616: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2470
              },
              {
                "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/v2-0616: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0616 vs http://hl7.org/fhir/v2/0616"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0616"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0617",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0617",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0617: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 858
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0617: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0617'"
            },
            "expression": [
              "CodeSystem/v2-0617: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2312
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0617: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2312
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0617: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2312
              },
              {
                "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/v2-0617: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0617 vs http://hl7.org/fhir/v2/0617"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0617"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0618",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0618",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0618: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0618: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0618'"
            },
            "expression": [
              "CodeSystem/v2-0618: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0618: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2393
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0618: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2393
              },
              {
                "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/v2-0618: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0618 vs http://hl7.org/fhir/v2/0618"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0618"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0625",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0625",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0625: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0625: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0625'"
            },
            "expression": [
              "CodeSystem/v2-0625: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0625: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2328
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0625: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2328
              },
              {
                "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/v2-0625: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0625 vs http://hl7.org/fhir/v2/0625"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0625"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0634",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0634",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0634: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 675
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0634: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0634'"
            },
            "expression": [
              "CodeSystem/v2-0634: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0634: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2077
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0634: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2077
              },
              {
                "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/v2-0634: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0634 vs http://hl7.org/fhir/v2/0634"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0634"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0642",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0642",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0642: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 854
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0642: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0642'"
            },
            "expression": [
              "CodeSystem/v2-0642: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0642: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2318
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0642: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2318
              },
              {
                "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/v2-0642: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0642 vs http://hl7.org/fhir/v2/0642"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0642"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0651",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0651",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0651: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 764
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0651: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0651'"
            },
            "expression": [
              "CodeSystem/v2-0651: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0651: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2196
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0651: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2196
              },
              {
                "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/v2-0651: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0651 vs http://hl7.org/fhir/v2/0651"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0651"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0653",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0653",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0653: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0653: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0653'"
            },
            "expression": [
              "CodeSystem/v2-0653: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2678
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0653: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2678
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0653: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2678
              },
              {
                "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/v2-0653: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0653 vs http://hl7.org/fhir/v2/0653"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0653"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0657",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0657",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0657: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0657: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0657'"
            },
            "expression": [
              "CodeSystem/v2-0657: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2350
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0657: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2350
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0657: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2350
              },
              {
                "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/v2-0657: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0657 vs http://hl7.org/fhir/v2/0657"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0657"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0659",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0659",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0659: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0659: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0659'"
            },
            "expression": [
              "CodeSystem/v2-0659: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0659: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2684
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0659: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2684
              },
              {
                "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/v2-0659: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0659 vs http://hl7.org/fhir/v2/0659"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0659"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0667",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0667",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0667: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 779
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0667: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0667'"
            },
            "expression": [
              "CodeSystem/v2-0667: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2220
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0667: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2220
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0667: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2220
              },
              {
                "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/v2-0667: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0667 vs http://hl7.org/fhir/v2/0667"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0667"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0669",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0669",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0669: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0669: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2303
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0669'"
            },
            "expression": [
              "CodeSystem/v2-0669: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0669: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2508
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0669: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2508
              },
              {
                "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/v2-0669: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0669 vs http://hl7.org/fhir/v2/0669"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0669"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0682",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0682",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0682: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 762
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0682: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0682'"
            },
            "expression": [
              "CodeSystem/v2-0682: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0682: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2178
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0682: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2178
              },
              {
                "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/v2-0682: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0682 vs http://hl7.org/fhir/v2/0682"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0682"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0702",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0702",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0702: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3792
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0702: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0702'"
            },
            "expression": [
              "CodeSystem/v2-0702: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0702: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6428
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0702: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6428
              },
              {
                "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/v2-0702: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0702 vs http://hl7.org/fhir/v2/0702"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0702"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0717",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0717",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0717: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1953
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0717: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0717'"
            },
            "expression": [
              "CodeSystem/v2-0717: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0717: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3916
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0717: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3916
              },
              {
                "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/v2-0717: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0717 vs http://hl7.org/fhir/v2/0717"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0717"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0719",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0719",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0719: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1366
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0719: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0719'"
            },
            "expression": [
              "CodeSystem/v2-0719: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0719: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3116
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0719: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3116
              },
              {
                "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/v2-0719: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0719 vs http://hl7.org/fhir/v2/0719"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0719"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0725",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0725",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0725: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1963
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0725: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0725'"
            },
            "expression": [
              "CodeSystem/v2-0725: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0725: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4237
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0725: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4237
              },
              {
                "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/v2-0725: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v2-0725: CodeSystem.concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0725 vs http://hl7.org/fhir/v2/0725"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0725"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0728",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0728",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0728: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0728: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0728'"
            },
            "expression": [
              "CodeSystem/v2-0728: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0728: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2550
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0728: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2550
              },
              {
                "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/v2-0728: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0728 vs http://hl7.org/fhir/v2/0728"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0728"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0731",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0731",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0731: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1092
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0731: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0731'"
            },
            "expression": [
              "CodeSystem/v2-0731: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0731: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2706
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0731: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2706
              },
              {
                "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/v2-0731: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0731 vs http://hl7.org/fhir/v2/0731"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0731"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0734",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0734",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0734: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1724
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0734: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0734'"
            },
            "expression": [
              "CodeSystem/v2-0734: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0734: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3632
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0734: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3632
              },
              {
                "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/v2-0734: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0734 vs http://hl7.org/fhir/v2/0734"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0734"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0739",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0739",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0739: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0739: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0739'"
            },
            "expression": [
              "CodeSystem/v2-0739: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0739: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2390
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0739: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2390
              },
              {
                "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/v2-0739: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0739 vs http://hl7.org/fhir/v2/0739"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0739"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0742",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0742",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0742: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1473
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0742: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0742'"
            },
            "expression": [
              "CodeSystem/v2-0742: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0742: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0742: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/v2-0742: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0742 vs http://hl7.org/fhir/v2/0742"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0742"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0749",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0749",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0749: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0749: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2384
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0749'"
            },
            "expression": [
              "CodeSystem/v2-0749: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0749: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2662
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0749: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2662
              },
              {
                "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/v2-0749: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0749 vs http://hl7.org/fhir/v2/0749"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0749"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0755",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0755",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0755: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0755: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0755'"
            },
            "expression": [
              "CodeSystem/v2-0755: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0755: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2553
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0755: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2553
              },
              {
                "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/v2-0755: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0755 vs http://hl7.org/fhir/v2/0755"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0755"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0757",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0757",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0757: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0757: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0757'"
            },
            "expression": [
              "CodeSystem/v2-0757: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0757: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2528
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0757: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2528
              },
              {
                "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/v2-0757: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0757 vs http://hl7.org/fhir/v2/0757"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0757"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0759",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0759",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0759: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1118
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0759: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0759'"
            },
            "expression": [
              "CodeSystem/v2-0759: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2780
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0759: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2780
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0759: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2780
              },
              {
                "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/v2-0759: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0759 vs http://hl7.org/fhir/v2/0759"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0759"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0761",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0761",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0761: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1073
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0761: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0761'"
            },
            "expression": [
              "CodeSystem/v2-0761: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0761: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2668
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0761: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2668
              },
              {
                "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/v2-0761: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0761 vs http://hl7.org/fhir/v2/0761"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0761"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0763",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0763",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0763: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0763: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0763'"
            },
            "expression": [
              "CodeSystem/v2-0763: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0763: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2526
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0763: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2526
              },
              {
                "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/v2-0763: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0763 vs http://hl7.org/fhir/v2/0763"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0763"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0776",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0776",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0776: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0776: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0776'"
            },
            "expression": [
              "CodeSystem/v2-0776: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0776: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2316
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0776: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2316
              },
              {
                "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/v2-0776: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0776 vs http://hl7.org/fhir/v2/0776"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0776"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0778",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0778",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0778: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0778: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0778'"
            },
            "expression": [
              "CodeSystem/v2-0778: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0778: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2622
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0778: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2622
              },
              {
                "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/v2-0778: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0778 vs http://hl7.org/fhir/v2/0778"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0778"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0790",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0790",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0790: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 812
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0790: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0790'"
            },
            "expression": [
              "CodeSystem/v2-0790: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2302
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0790: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2302
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0790: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2302
              },
              {
                "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/v2-0790: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0790 vs http://hl7.org/fhir/v2/0790"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0790"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0793",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0793",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0793: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 693
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0793: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0793'"
            },
            "expression": [
              "CodeSystem/v2-0793: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0793: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2090
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0793: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2090
              },
              {
                "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/v2-0793: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0793 vs http://hl7.org/fhir/v2/0793"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0793"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0806",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0806",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0806: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0806: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0806'"
            },
            "expression": [
              "CodeSystem/v2-0806: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0806: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2362
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0806: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2362
              },
              {
                "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/v2-0806: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0806 vs http://hl7.org/fhir/v2/0806"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0806"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0818",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0818",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0818: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 940
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0818: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2244
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0818'"
            },
            "expression": [
              "CodeSystem/v2-0818: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0818: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2401
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0818: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2401
              },
              {
                "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/v2-0818: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0818 vs http://hl7.org/fhir/v2/0818"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0818"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0834",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0834",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0834: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1329
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0834: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2639
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0834'"
            },
            "expression": [
              "CodeSystem/v2-0834: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0834: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2979
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0834: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2979
              },
              {
                "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/v2-0834: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0834 vs http://hl7.org/fhir/v2/0834"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0834"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0868",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0868",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0868: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0868: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0868'"
            },
            "expression": [
              "CodeSystem/v2-0868: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0868: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2640
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0868: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2640
              },
              {
                "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/v2-0868: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0868 vs http://hl7.org/fhir/v2/0868"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0868"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0871",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0871",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1451
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0871: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1425
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0871: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0871'"
            },
            "expression": [
              "CodeSystem/v2-0871: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0871: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3422
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0871: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3422
              },
              {
                "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/v2-0871: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0871 vs http://hl7.org/fhir/v2/0871"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0871"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0881",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0881",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0881: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0881: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0881'"
            },
            "expression": [
              "CodeSystem/v2-0881: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0881: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2352
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0881: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2352
              },
              {
                "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/v2-0881: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0881 vs http://hl7.org/fhir/v2/0881"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0881"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0882",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0882",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0882: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 771
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0882: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0882'"
            },
            "expression": [
              "CodeSystem/v2-0882: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0882: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2233
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0882: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2233
              },
              {
                "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/v2-0882: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0882 vs http://hl7.org/fhir/v2/0882"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0882"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0894",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0894",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0894: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 757
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0894: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0894'"
            },
            "expression": [
              "CodeSystem/v2-0894: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0894: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2166
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0894: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2166
              },
              {
                "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/v2-0894: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0894 vs http://hl7.org/fhir/v2/0894"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0894"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0895",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0895",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0895: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1438
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0895: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0895'"
            },
            "expression": [
              "CodeSystem/v2-0895: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3295
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0895: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3295
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0895: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3295
              },
              {
                "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/v2-0895: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0895 vs http://hl7.org/fhir/v2/0895"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0895"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0904",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0904",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0904: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0904: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0904'"
            },
            "expression": [
              "CodeSystem/v2-0904: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0904: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2418
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0904: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2418
              },
              {
                "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/v2-0904: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0904 vs http://hl7.org/fhir/v2/0904"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0904"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0905",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0905",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0905: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0905: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0905'"
            },
            "expression": [
              "CodeSystem/v2-0905: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0905: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2750
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0905: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2750
              },
              {
                "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/v2-0905: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0905 vs http://hl7.org/fhir/v2/0905"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0905"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0906",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0906",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0906: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3359
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0906: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0906'"
            },
            "expression": [
              "CodeSystem/v2-0906: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0906: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6593
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0906: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6593
              },
              {
                "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/v2-0906: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0906 vs http://hl7.org/fhir/v2/0906"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0906"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0907",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0907",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3756
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0907: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3730
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0907: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0907'"
            },
            "expression": [
              "CodeSystem/v2-0907: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0907: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7414
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0907: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7414
              },
              {
                "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/v2-0907: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0907 vs http://hl7.org/fhir/v2/0907"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0907"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0909",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0909",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0909: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1954
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0909: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0909'"
            },
            "expression": [
              "CodeSystem/v2-0909: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4329
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0909: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4329
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0909: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4329
              },
              {
                "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/v2-0909: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0909 vs http://hl7.org/fhir/v2/0909"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0909"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0912",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0912",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0912: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4502
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0912: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0912'"
            },
            "expression": [
              "CodeSystem/v2-0912: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0912: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7750
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0912: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7750
              },
              {
                "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/v2-0912: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0912 vs http://hl7.org/fhir/v2/0912"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0912"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0914",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0914",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0914: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1081
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0914: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0914'"
            },
            "expression": [
              "CodeSystem/v2-0914: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0914: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2632
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0914: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2632
              },
              {
                "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/v2-0914: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0914 vs http://hl7.org/fhir/v2/0914"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0914"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0916",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0916",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0916: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1743
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0916: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0916'"
            },
            "expression": [
              "CodeSystem/v2-0916: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0916: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3782
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0916: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-0916: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3782
              },
              {
                "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/v2-0916: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0916 vs http://hl7.org/fhir/v2/0916"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0916"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0917",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0917",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0917: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 767
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0917: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0917'"
            },
            "expression": [
              "CodeSystem/v2-0917: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0917: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2182
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0917: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2182
              },
              {
                "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/v2-0917: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0917 vs http://hl7.org/fhir/v2/0917"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0917"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0918",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0918",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0918: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 868
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0918: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0918'"
            },
            "expression": [
              "CodeSystem/v2-0918: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0918: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2321
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0918: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2321
              },
              {
                "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/v2-0918: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0918 vs http://hl7.org/fhir/v2/0918"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0918"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0919",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0919",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0919: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0919: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0919'"
            },
            "expression": [
              "CodeSystem/v2-0919: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0919: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2632
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0919: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2632
              },
              {
                "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/v2-0919: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0919 vs http://hl7.org/fhir/v2/0919"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0919"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0920",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0920",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0920: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 766
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0920: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0920'"
            },
            "expression": [
              "CodeSystem/v2-0920: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0920: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2230
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0920: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2230
              },
              {
                "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/v2-0920: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0920 vs http://hl7.org/fhir/v2/0920"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0920"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0921",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0921",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0921: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 873
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0921: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0921'"
            },
            "expression": [
              "CodeSystem/v2-0921: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0921: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2354
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0921: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2354
              },
              {
                "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/v2-0921: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0921 vs http://hl7.org/fhir/v2/0921"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0921"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0922",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0922",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0922: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0922: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0922'"
            },
            "expression": [
              "CodeSystem/v2-0922: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0922: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2405
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0922: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2405
              },
              {
                "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/v2-0922: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0922 vs http://hl7.org/fhir/v2/0922"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0922"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0923",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0923",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0923: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0923: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0923'"
            },
            "expression": [
              "CodeSystem/v2-0923: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0923: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2714
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0923: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2714
              },
              {
                "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/v2-0923: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0923 vs http://hl7.org/fhir/v2/0923"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0923"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0924",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0924",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0924: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0924: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0924'"
            },
            "expression": [
              "CodeSystem/v2-0924: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2760
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0924: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2760
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0924: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2760
              },
              {
                "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/v2-0924: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0924 vs http://hl7.org/fhir/v2/0924"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0924"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0925",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0925",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0925: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1997
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0925: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0925'"
            },
            "expression": [
              "CodeSystem/v2-0925: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0925: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3990
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0925: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3990
              },
              {
                "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/v2-0925: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0925 vs http://hl7.org/fhir/v2/0925"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0925"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0926",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0926",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0926: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 897
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0926: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0926'"
            },
            "expression": [
              "CodeSystem/v2-0926: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0926: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2392
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0926: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2392
              },
              {
                "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/v2-0926: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0926 vs http://hl7.org/fhir/v2/0926"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0926"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0927",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0927",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0927: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 858
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0927: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0927'"
            },
            "expression": [
              "CodeSystem/v2-0927: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0927: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2304
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0927: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2304
              },
              {
                "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/v2-0927: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0927 vs http://hl7.org/fhir/v2/0927"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0927"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0933",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0933",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0933: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1953
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0933: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0933'"
            },
            "expression": [
              "CodeSystem/v2-0933: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0933: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3916
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0933: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3916
              },
              {
                "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/v2-0933: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0933 vs http://hl7.org/fhir/v2/0933"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0933"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-0935",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0935",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-0935: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1611
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-0935: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-0935'"
            },
            "expression": [
              "CodeSystem/v2-0935: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-0935: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3480
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-0935: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3480
              },
              {
                "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/v2-0935: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-0935 vs http://hl7.org/fhir/v2/0935"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-0935"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-2.1-0006",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-2.1-0006",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-2.1-0006: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1490
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-2.1-0006: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-2.1-0006'"
            },
            "expression": [
              "CodeSystem/v2-2.1-0006: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-2.1-0006: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3164
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-2.1-0006: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3164
              },
              {
                "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/v2-2.1-0006: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-2.1-0006 vs http://hl7.org/fhir/v2/0006/2.1"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-2.1-0006"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-2.3.1-0360",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-2.3.1-0360",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-2.3.1-0360: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7366
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-2.3.1-0360: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-2.3.1-0360'"
            },
            "expression": [
              "CodeSystem/v2-2.3.1-0360: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-2.3.1-0360: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11658
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-2.3.1-0360: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11658
              },
              {
                "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/v2-2.3.1-0360: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-2.3.1-0360 vs http://hl7.org/fhir/v2/0360/2.3.1"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-2.3.1-0360"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-2.4-0006",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-2.4-0006",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-2.4-0006: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10264
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-2.4-0006: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-2.4-0006'"
            },
            "expression": [
              "CodeSystem/v2-2.4-0006: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-2.4-0006: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15766
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-2.4-0006: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15766
              },
              {
                "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/v2-2.4-0006: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-2.4-0006 vs http://hl7.org/fhir/v2/0006/2.4"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-2.4-0006"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-2.4-0391",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-2.4-0391",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-2.4-0391: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1407
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-2.4-0391: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-2.4-0391'"
            },
            "expression": [
              "CodeSystem/v2-2.4-0391: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-2.4-0391: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3028
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-2.4-0391: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3028
              },
              {
                "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/v2-2.4-0391: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v2-2.4-0391: CodeSystem.concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-2.4-0391 vs http://hl7.org/fhir/v2/0391/2.4"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-2.4-0391"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-2.6-0391",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-2.6-0391",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-2.6-0391: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14974
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-2.6-0391: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16280
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-2.6-0391'"
            },
            "expression": [
              "CodeSystem/v2-2.6-0391: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-2.6-0391: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19807
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-2.6-0391: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v2-2.6-0391: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19807
              },
              {
                "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/v2-2.6-0391: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-2.6-0391 vs http://hl7.org/fhir/v2/0391/2.6"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-2.6-0391"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-2.7-0360",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-2.7-0360",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-2.7-0360: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7573
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-2.7-0360: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-2.7-0360'"
            },
            "expression": [
              "CodeSystem/v2-2.7-0360: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/v2-2.7-0360: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12003
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-2.7-0360: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12003
              },
              {
                "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/v2-2.7-0360: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-2.7-0360 vs http://hl7.org/fhir/v2/0360/2.7"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-2.7-0360"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v2-4000",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-4000",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v2-4000: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1756
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v2-4000: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v2-4000'"
            },
            "expression": [
              "CodeSystem/v2-4000: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v2-4000: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4041
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v2-4000: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v2-4000: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4041
              },
              {
                "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/v2-4000: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v2-4000 vs http://hl7.org/fhir/v2/4000"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v2-4000"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-AcknowledgementCondition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AcknowledgementCondition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementCondition: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1964
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementCondition: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-AcknowledgementCondition'"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementCondition: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementCondition: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4236
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementCondition: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-AcknowledgementCondition vs http://hl7.org/fhir/v3/AcknowledgementCondition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-AcknowledgementCondition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-AcknowledgementDetailCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AcknowledgementDetailCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailCode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10219
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailCode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-AcknowledgementDetailCode'"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailCode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17937
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-AcknowledgementDetailCode vs http://hl7.org/fhir/v3/AcknowledgementDetailCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-AcknowledgementDetailCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-AcknowledgementDetailType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AcknowledgementDetailType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3306
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4895
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-AcknowledgementDetailType'"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6706
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementDetailType: CodeSystem.concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6706
              },
              {
                "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/v3-AcknowledgementDetailType: CodeSystem.concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-AcknowledgementDetailType vs http://hl7.org/fhir/v3/AcknowledgementDetailType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-AcknowledgementDetailType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-AcknowledgementType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AcknowledgementType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2308
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-AcknowledgementType'"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5079
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5079
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-AcknowledgementType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-AcknowledgementType vs http://hl7.org/fhir/v3/AcknowledgementType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-AcknowledgementType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActClass",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActClass: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96327
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActClass: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 97615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActClass'"
            },
            "expression": [
              "CodeSystem/v3-ActClass: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 180348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActClass: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 180348
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActClass: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 180348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-ActClass: CodeSystem.property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 180348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v3-ActClass: CodeSystem.concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 180348
              },
              {
                "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/v3-ActClass: CodeSystem.concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActClass vs http://hl7.org/fhir/v3/ActClass"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActClass"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 464614
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 464588
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 467104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActCode'"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 792445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 792445
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 792445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 792445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v3-ActCode: CodeSystem.concept[37].concept[23].concept[0].concept[0].concept[2].concept[4].concept[1].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 792445
              },
              {
                "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/v3-ActCode: CodeSystem.concept[37].concept[23].concept[0].concept[0].concept[2].concept[4].concept[1].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActCode vs http://hl7.org/fhir/v3/ActCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActExposureLevelCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActExposureLevelCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActExposureLevelCode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2437
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActExposureLevelCode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActExposureLevelCode'"
            },
            "expression": [
              "CodeSystem/v3-ActExposureLevelCode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActExposureLevelCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5125
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActExposureLevelCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActExposureLevelCode vs http://hl7.org/fhir/v3/ActExposureLevelCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActExposureLevelCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActInvoiceElementModifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActInvoiceElementModifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActInvoiceElementModifier: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1536
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActInvoiceElementModifier: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2895
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActInvoiceElementModifier'"
            },
            "expression": [
              "CodeSystem/v3-ActInvoiceElementModifier: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3461
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActInvoiceElementModifier: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3461
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActInvoiceElementModifier: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActInvoiceElementModifier vs http://hl7.org/fhir/v3/ActInvoiceElementModifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActInvoiceElementModifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActMood",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActMood",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActMood: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16241
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActMood: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActMood'"
            },
            "expression": [
              "CodeSystem/v3-ActMood: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActMood: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30045
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActMood: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-ActMood: CodeSystem.property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActMood vs http://hl7.org/fhir/v3/ActMood"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActMood"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActPriority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActPriority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4239
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActPriority'"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8231
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActPriority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActPriority vs http://hl7.org/fhir/v3/ActPriority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActPriority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActReason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActReason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86063
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87712
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActReason'"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142420
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v3-ActReason: CodeSystem.concept[24]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142420
              },
              {
                "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/v3-ActReason: CodeSystem.concept[24]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActReason vs http://hl7.org/fhir/v3/ActReason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActReason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActRelationshipCheckpoint",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipCheckpoint",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipCheckpoint: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1968
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipCheckpoint: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActRelationshipCheckpoint'"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipCheckpoint: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipCheckpoint: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4246
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipCheckpoint: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActRelationshipCheckpoint vs http://hl7.org/fhir/v3/ActRelationshipCheckpoint"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActRelationshipCheckpoint"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActRelationshipJoin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipJoin",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipJoin: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1524
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipJoin: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2845
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActRelationshipJoin'"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipJoin: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipJoin: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3466
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipJoin: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActRelationshipJoin vs http://hl7.org/fhir/v3/ActRelationshipJoin"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActRelationshipJoin"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActRelationshipSplit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipSplit",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSplit: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2557
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSplit: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3881
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActRelationshipSplit'"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSplit: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSplit: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5514
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSplit: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActRelationshipSplit vs http://hl7.org/fhir/v3/ActRelationshipSplit"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActRelationshipSplit"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActRelationshipSubset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipSubset",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSubset: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6299
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSubset: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActRelationshipSubset'"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSubset: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSubset: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11562
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipSubset: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActRelationshipSubset vs http://hl7.org/fhir/v3/ActRelationshipSubset"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActRelationshipSubset"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActRelationshipType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActRelationshipType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66022
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 67355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActRelationshipType'"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114127
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v3-ActRelationshipType: CodeSystem.concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114127
              },
              {
                "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/v3-ActRelationshipType: CodeSystem.concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActRelationshipType vs http://hl7.org/fhir/v3/ActRelationshipType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActRelationshipType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActSite",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActSite",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10560
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActSite'"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16540
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16540
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActSite: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActSite vs http://hl7.org/fhir/v3/ActSite"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActSite"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActStatus: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2822
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActStatus: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActStatus'"
            },
            "expression": [
              "CodeSystem/v3-ActStatus: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5773
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActStatus vs http://hl7.org/fhir/v3/ActStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActUSPrivacyLaw",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActUSPrivacyLaw",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9195
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10621
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActUSPrivacyLaw'"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18545
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-ActUSPrivacyLaw: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActUSPrivacyLaw vs http://hl7.org/fhir/v3/ActUSPrivacyLaw"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActUSPrivacyLaw"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ActUncertainty",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActUncertainty",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ActUncertainty: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1280
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ActUncertainty: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActUncertainty'"
            },
            "expression": [
              "CodeSystem/v3-ActUncertainty: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ActUncertainty: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3134
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ActUncertainty: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ActUncertainty vs http://hl7.org/fhir/v3/ActUncertainty"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ActUncertainty"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-AddressPartType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AddressPartType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-AddressPartType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9126
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-AddressPartType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-AddressPartType'"
            },
            "expression": [
              "CodeSystem/v3-AddressPartType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-AddressPartType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17118
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-AddressPartType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/codesystem-hierarchy-meaning#part-of'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-AddressPartType: CodeSystem.property[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-AddressPartType vs http://hl7.org/fhir/v3/AddressPartType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-AddressPartType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-AddressUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AddressUse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-AddressUse: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7123
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-AddressUse: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-AddressUse'"
            },
            "expression": [
              "CodeSystem/v3-AddressUse: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-AddressUse: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12828
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-AddressUse: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-AddressUse vs http://hl7.org/fhir/v3/AddressUse"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-AddressUse"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-AdministrativeGender",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AdministrativeGender",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-AdministrativeGender: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-AdministrativeGender: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-AdministrativeGender'"
            },
            "expression": [
              "CodeSystem/v3-AdministrativeGender: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-AdministrativeGender: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2861
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-AdministrativeGender: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-AdministrativeGender vs http://hl7.org/fhir/v3/AdministrativeGender"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-AdministrativeGender"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-AmericanIndianAlaskaNativeLanguages",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-AmericanIndianAlaskaNativeLanguages",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-AmericanIndianAlaskaNativeLanguages: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53065
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-AmericanIndianAlaskaNativeLanguages: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-AmericanIndianAlaskaNativeLanguages'"
            },
            "expression": [
              "CodeSystem/v3-AmericanIndianAlaskaNativeLanguages: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-AmericanIndianAlaskaNativeLanguages: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78846
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-AmericanIndianAlaskaNativeLanguages: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages vs http://hl7.org/fhir/v3/AmericanIndianAlaskaNativeLanguages"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-AmericanIndianAlaskaNativeLanguages"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-Calendar",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Calendar",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-Calendar: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 916
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-Calendar: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-Calendar'"
            },
            "expression": [
              "CodeSystem/v3-Calendar: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-Calendar: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2479
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-Calendar: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-Calendar vs http://hl7.org/fhir/v3/Calendar"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-Calendar"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-CalendarCycle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CalendarCycle",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-CalendarCycle: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-CalendarCycle: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-CalendarCycle'"
            },
            "expression": [
              "CodeSystem/v3-CalendarCycle: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-CalendarCycle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8417
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-CalendarCycle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-CalendarCycle: CodeSystem.property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-CalendarCycle vs http://hl7.org/fhir/v3/CalendarCycle"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-CalendarCycle"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-CalendarType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CalendarType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 958
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-CalendarType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-CalendarType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-CalendarType'"
            },
            "expression": [
              "CodeSystem/v3-CalendarType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-CalendarType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2499
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-CalendarType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-CalendarType vs http://hl7.org/fhir/v3/CalendarType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-CalendarType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-Charset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Charset",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-Charset: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2028
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-Charset: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3340
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-Charset'"
            },
            "expression": [
              "CodeSystem/v3-Charset: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-Charset: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4372
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-Charset: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-Charset vs http://hl7.org/fhir/v3/Charset"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-Charset"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-CodingRationale",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CodingRationale",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-CodingRationale: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2825
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-CodingRationale: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4941
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-CodingRationale'"
            },
            "expression": [
              "CodeSystem/v3-CodingRationale: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6329
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-CodingRationale: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6329
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-CodingRationale: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-CodingRationale vs http://hl7.org/fhir/v3/CodingRationale"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-CodingRationale"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-CommunicationFunctionType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CommunicationFunctionType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1313
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-CommunicationFunctionType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1287
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-CommunicationFunctionType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-CommunicationFunctionType'"
            },
            "expression": [
              "CodeSystem/v3-CommunicationFunctionType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-CommunicationFunctionType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3102
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-CommunicationFunctionType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-CommunicationFunctionType vs http://hl7.org/fhir/v3/CommunicationFunctionType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-CommunicationFunctionType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-CompressionAlgorithm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-CompressionAlgorithm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-CompressionAlgorithm: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2091
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-CompressionAlgorithm: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-CompressionAlgorithm'"
            },
            "expression": [
              "CodeSystem/v3-CompressionAlgorithm: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-CompressionAlgorithm: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4455
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-CompressionAlgorithm: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-CompressionAlgorithm vs http://hl7.org/fhir/v3/CompressionAlgorithm"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-CompressionAlgorithm"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-Confidentiality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Confidentiality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15778
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-Confidentiality'"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30570
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-Confidentiality: CodeSystem.property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-Confidentiality vs http://hl7.org/fhir/v3/Confidentiality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-Confidentiality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ContainerCap",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ContainerCap",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ContainerCap: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2878
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ContainerCap: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ContainerCap'"
            },
            "expression": [
              "CodeSystem/v3-ContainerCap: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ContainerCap: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5628
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ContainerCap: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ContainerCap vs http://hl7.org/fhir/v3/ContainerCap"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ContainerCap"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ContainerSeparator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ContainerSeparator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ContainerSeparator: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1015
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ContainerSeparator: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ContainerSeparator'"
            },
            "expression": [
              "CodeSystem/v3-ContainerSeparator: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ContainerSeparator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2661
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ContainerSeparator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ContainerSeparator vs http://hl7.org/fhir/v3/ContainerSeparator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ContainerSeparator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ContentProcessingMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ContentProcessingMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ContentProcessingMode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ContentProcessingMode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ContentProcessingMode'"
            },
            "expression": [
              "CodeSystem/v3-ContentProcessingMode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ContentProcessingMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2745
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ContentProcessingMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ContentProcessingMode vs http://hl7.org/fhir/v3/ContentProcessingMode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ContentProcessingMode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ContextControl",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ContextControl",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ContextControl: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5487
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ContextControl: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ContextControl'"
            },
            "expression": [
              "CodeSystem/v3-ContextControl: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ContextControl: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11078
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ContextControl: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ContextControl vs http://hl7.org/fhir/v3/ContextControl"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ContextControl"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-DataOperation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-DataOperation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-DataOperation: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8396
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-DataOperation: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-DataOperation'"
            },
            "expression": [
              "CodeSystem/v3-DataOperation: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-DataOperation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15369
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-DataOperation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-DataOperation vs http://hl7.org/fhir/v3/DataOperation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-DataOperation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-DeviceAlertLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-DeviceAlertLevel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1280
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-DeviceAlertLevel: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1254
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-DeviceAlertLevel: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-DeviceAlertLevel'"
            },
            "expression": [
              "CodeSystem/v3-DeviceAlertLevel: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-DeviceAlertLevel: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2959
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-DeviceAlertLevel: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-DeviceAlertLevel vs http://hl7.org/fhir/v3/DeviceAlertLevel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-DeviceAlertLevel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-DocumentCompletion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-DocumentCompletion",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-DocumentCompletion: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3371
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-DocumentCompletion: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-DocumentCompletion'"
            },
            "expression": [
              "CodeSystem/v3-DocumentCompletion: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6866
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-DocumentCompletion: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6866
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-DocumentCompletion: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-DocumentCompletion vs http://hl7.org/fhir/v3/DocumentCompletion"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-DocumentCompletion"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-DocumentStorage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-DocumentStorage",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1575
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-DocumentStorage: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1549
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-DocumentStorage: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-DocumentStorage'"
            },
            "expression": [
              "CodeSystem/v3-DocumentStorage: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-DocumentStorage: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3492
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-DocumentStorage: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-DocumentStorage vs http://hl7.org/fhir/v3/DocumentStorage"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-DocumentStorage"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EducationLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EducationLevel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EducationLevel: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2267
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EducationLevel: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EducationLevel'"
            },
            "expression": [
              "CodeSystem/v3-EducationLevel: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4674
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EducationLevel: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4674
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EducationLevel: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EducationLevel vs http://hl7.org/fhir/v3/EducationLevel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EducationLevel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EmployeeJobClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EmployeeJobClass",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EmployeeJobClass: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1223
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EmployeeJobClass: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EmployeeJobClass'"
            },
            "expression": [
              "CodeSystem/v3-EmployeeJobClass: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EmployeeJobClass: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3006
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EmployeeJobClass: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EmployeeJobClass vs http://hl7.org/fhir/v3/EmployeeJobClass"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EmployeeJobClass"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EncounterAdmissionSource",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EncounterAdmissionSource",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EncounterAdmissionSource: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1135
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EncounterAdmissionSource: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EncounterAdmissionSource'"
            },
            "expression": [
              "CodeSystem/v3-EncounterAdmissionSource: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2727
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EncounterAdmissionSource: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2727
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EncounterAdmissionSource: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EncounterAdmissionSource vs http://hl7.org/fhir/v3/EncounterAdmissionSource"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EncounterAdmissionSource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EncounterSpecialCourtesy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EncounterSpecialCourtesy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EncounterSpecialCourtesy: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1527
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EncounterSpecialCourtesy: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EncounterSpecialCourtesy'"
            },
            "expression": [
              "CodeSystem/v3-EncounterSpecialCourtesy: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EncounterSpecialCourtesy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3361
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EncounterSpecialCourtesy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EncounterSpecialCourtesy vs http://hl7.org/fhir/v3/EncounterSpecialCourtesy"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EncounterSpecialCourtesy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityClass",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityClass: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8163
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityClass: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityClass'"
            },
            "expression": [
              "CodeSystem/v3-EntityClass: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityClass: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14336
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityClass: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityClass vs http://hl7.org/fhir/v3/EntityClass"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityClass"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityCode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40772
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityCode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityCode'"
            },
            "expression": [
              "CodeSystem/v3-EntityCode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63759
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityCode vs http://hl7.org/fhir/v3/EntityCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityDeterminer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityDeterminer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityDeterminer: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3887
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityDeterminer: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityDeterminer'"
            },
            "expression": [
              "CodeSystem/v3-EntityDeterminer: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityDeterminer: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7857
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityDeterminer: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-EntityDeterminer: CodeSystem.property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityDeterminer vs http://hl7.org/fhir/v3/EntityDeterminer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityDeterminer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityHandling",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityHandling",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityHandling: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3725
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityHandling: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityHandling'"
            },
            "expression": [
              "CodeSystem/v3-EntityHandling: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityHandling: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7000
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityHandling: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityHandling vs http://hl7.org/fhir/v3/EntityHandling"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityHandling"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityNamePartQualifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartQualifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15703
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifier: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15677
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifier: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityNamePartQualifier'"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifier: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifier: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28210
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifier: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityNamePartQualifier vs http://hl7.org/fhir/v3/EntityNamePartQualifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityNamePartQualifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityNamePartQualifierR2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartQualifierR2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifierR2: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15372
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifierR2: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityNamePartQualifierR2'"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifierR2: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifierR2: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28236
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartQualifierR2: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityNamePartQualifierR2 vs http://hl7.org/fhir/v3/EntityNamePartQualifierR2"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityNamePartQualifierR2"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityNamePartType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2086
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityNamePartType'"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityNamePartType vs http://hl7.org/fhir/v3/EntityNamePartType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityNamePartType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityNamePartTypeR2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNamePartTypeR2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartTypeR2: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2011
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartTypeR2: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityNamePartTypeR2'"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartTypeR2: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartTypeR2: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4413
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityNamePartTypeR2: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityNamePartTypeR2 vs http://hl7.org/fhir/v3/EntityNamePartTypeR2"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityNamePartTypeR2"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityNameUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNameUse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUse: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4987
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUse: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityNameUse'"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUse: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUse: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8864
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUse: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityNameUse vs http://hl7.org/fhir/v3/EntityNameUse"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityNameUse"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityNameUseR2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityNameUseR2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6727
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUseR2: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6701
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUseR2: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8097
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityNameUseR2'"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUseR2: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUseR2: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12433
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityNameUseR2: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityNameUseR2 vs http://hl7.org/fhir/v3/EntityNameUseR2"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityNameUseR2"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityRisk",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityRisk",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityRisk: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3266
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityRisk: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityRisk'"
            },
            "expression": [
              "CodeSystem/v3-EntityRisk: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6486
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityRisk: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6486
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityRisk: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityRisk vs http://hl7.org/fhir/v3/EntityRisk"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityRisk"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EntityStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EntityStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EntityStatus: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2295
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EntityStatus: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EntityStatus'"
            },
            "expression": [
              "CodeSystem/v3-EntityStatus: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EntityStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4728
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EntityStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EntityStatus vs http://hl7.org/fhir/v3/EntityStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EntityStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-EquipmentAlertLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-EquipmentAlertLevel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-EquipmentAlertLevel: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1275
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-EquipmentAlertLevel: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-EquipmentAlertLevel'"
            },
            "expression": [
              "CodeSystem/v3-EquipmentAlertLevel: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-EquipmentAlertLevel: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2968
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-EquipmentAlertLevel: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-EquipmentAlertLevel vs http://hl7.org/fhir/v3/EquipmentAlertLevel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-EquipmentAlertLevel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-Ethnicity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Ethnicity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7744
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-Ethnicity: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7718
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-Ethnicity: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-Ethnicity'"
            },
            "expression": [
              "CodeSystem/v3-Ethnicity: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-Ethnicity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13370
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-Ethnicity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-Ethnicity vs http://hl7.org/fhir/v3/Ethnicity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-Ethnicity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ExposureMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ExposureMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ExposureMode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2625
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ExposureMode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ExposureMode'"
            },
            "expression": [
              "CodeSystem/v3-ExposureMode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ExposureMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5327
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ExposureMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ExposureMode vs http://hl7.org/fhir/v3/ExposureMode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ExposureMode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-GTSAbbreviation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-GTSAbbreviation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9009
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-GTSAbbreviation'"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14847
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-GTSAbbreviation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-GTSAbbreviation vs http://hl7.org/fhir/v3/GTSAbbreviation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-GTSAbbreviation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-GenderStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-GenderStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-GenderStatus: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 924
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-GenderStatus: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-GenderStatus'"
            },
            "expression": [
              "CodeSystem/v3-GenderStatus: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-GenderStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2426
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-GenderStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-GenderStatus vs http://hl7.org/fhir/v3/GenderStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-GenderStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-HL7UpdateMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-HL7UpdateMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-HL7UpdateMode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6101
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-HL7UpdateMode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-HL7UpdateMode'"
            },
            "expression": [
              "CodeSystem/v3-HL7UpdateMode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-HL7UpdateMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11395
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-HL7UpdateMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-HL7UpdateMode vs http://hl7.org/fhir/v3/HL7UpdateMode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-HL7UpdateMode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-HtmlLinkType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-HtmlLinkType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-HtmlLinkType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4103
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-HtmlLinkType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-HtmlLinkType'"
            },
            "expression": [
              "CodeSystem/v3-HtmlLinkType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-HtmlLinkType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8277
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-HtmlLinkType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-HtmlLinkType vs http://hl7.org/fhir/v3/HtmlLinkType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-HtmlLinkType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-IdentifierReliability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-IdentifierReliability",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1652
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-IdentifierReliability: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1626
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-IdentifierReliability: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-IdentifierReliability'"
            },
            "expression": [
              "CodeSystem/v3-IdentifierReliability: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-IdentifierReliability: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3826
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-IdentifierReliability: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-IdentifierReliability vs http://hl7.org/fhir/v3/IdentifierReliability"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-IdentifierReliability"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-IdentifierScope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-IdentifierScope",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-IdentifierScope: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3238
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-IdentifierScope: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-IdentifierScope'"
            },
            "expression": [
              "CodeSystem/v3-IdentifierScope: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-IdentifierScope: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6982
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-IdentifierScope: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-IdentifierScope vs http://hl7.org/fhir/v3/IdentifierScope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-IdentifierScope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-IntegrityCheckAlgorithm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-IntegrityCheckAlgorithm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-IntegrityCheckAlgorithm: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1170
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-IntegrityCheckAlgorithm: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-IntegrityCheckAlgorithm'"
            },
            "expression": [
              "CodeSystem/v3-IntegrityCheckAlgorithm: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-IntegrityCheckAlgorithm: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2864
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-IntegrityCheckAlgorithm: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-IntegrityCheckAlgorithm vs http://hl7.org/fhir/v3/IntegrityCheckAlgorithm"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-IntegrityCheckAlgorithm"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-LanguageAbilityMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LanguageAbilityMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1591
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityMode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1565
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityMode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-LanguageAbilityMode'"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityMode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3642
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-LanguageAbilityMode vs http://hl7.org/fhir/v3/LanguageAbilityMode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-LanguageAbilityMode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-LanguageAbilityProficiency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LanguageAbilityProficiency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityProficiency: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1236
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityProficiency: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-LanguageAbilityProficiency'"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityProficiency: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3008
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityProficiency: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3008
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-LanguageAbilityProficiency: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-LanguageAbilityProficiency vs http://hl7.org/fhir/v3/LanguageAbilityProficiency"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-LanguageAbilityProficiency"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-LivingArrangement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LivingArrangement",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-LivingArrangement: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3261
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-LivingArrangement: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-LivingArrangement'"
            },
            "expression": [
              "CodeSystem/v3-LivingArrangement: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-LivingArrangement: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6248
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-LivingArrangement: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-LivingArrangement vs http://hl7.org/fhir/v3/LivingArrangement"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-LivingArrangement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-LocalMarkupIgnore",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LocalMarkupIgnore",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-LocalMarkupIgnore: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 883
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-LocalMarkupIgnore: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-LocalMarkupIgnore'"
            },
            "expression": [
              "CodeSystem/v3-LocalMarkupIgnore: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-LocalMarkupIgnore: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2535
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-LocalMarkupIgnore: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-LocalMarkupIgnore vs http://hl7.org/fhir/v3/LocalMarkupIgnore"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-LocalMarkupIgnore"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-LocalRemoteControlState",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-LocalRemoteControlState",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-LocalRemoteControlState: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-LocalRemoteControlState: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-LocalRemoteControlState'"
            },
            "expression": [
              "CodeSystem/v3-LocalRemoteControlState: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-LocalRemoteControlState: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2762
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-LocalRemoteControlState: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-LocalRemoteControlState vs http://hl7.org/fhir/v3/LocalRemoteControlState"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-LocalRemoteControlState"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ManagedParticipationStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ManagedParticipationStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ManagedParticipationStatus: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2111
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ManagedParticipationStatus: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ManagedParticipationStatus'"
            },
            "expression": [
              "CodeSystem/v3-ManagedParticipationStatus: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ManagedParticipationStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4518
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ManagedParticipationStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ManagedParticipationStatus vs http://hl7.org/fhir/v3/ManagedParticipationStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ManagedParticipationStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-MapRelationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-MapRelationship",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-MapRelationship: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1525
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-MapRelationship: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-MapRelationship'"
            },
            "expression": [
              "CodeSystem/v3-MapRelationship: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-MapRelationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3778
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-MapRelationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-MapRelationship vs http://hl7.org/fhir/v3/MapRelationship"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-MapRelationship"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-MaritalStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-MaritalStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2192
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-MaritalStatus'"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4646
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-MaritalStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-MaritalStatus vs http://hl7.org/fhir/v3/MaritalStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-MaritalStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-MessageWaitingPriority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-MessageWaitingPriority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-MessageWaitingPriority: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1169
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-MessageWaitingPriority: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2639
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-MessageWaitingPriority'"
            },
            "expression": [
              "CodeSystem/v3-MessageWaitingPriority: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-MessageWaitingPriority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2947
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-MessageWaitingPriority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-MessageWaitingPriority vs http://hl7.org/fhir/v3/MessageWaitingPriority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-MessageWaitingPriority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ModifyIndicator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ModifyIndicator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ModifyIndicator: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 999
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ModifyIndicator: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ModifyIndicator'"
            },
            "expression": [
              "CodeSystem/v3-ModifyIndicator: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ModifyIndicator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2564
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ModifyIndicator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ModifyIndicator vs http://hl7.org/fhir/v3/ModifyIndicator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ModifyIndicator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-NullFlavor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-NullFlavor",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8919
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8893
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-NullFlavor'"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16348
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-NullFlavor vs http://hl7.org/fhir/v3/NullFlavor"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-NullFlavor"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ObservationInterpretation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ObservationInterpretation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36408
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36382
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38097
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ObservationInterpretation'"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66918
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-ObservationInterpretation: CodeSystem.property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ObservationInterpretation vs http://hl7.org/fhir/v3/ObservationInterpretation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ObservationInterpretation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ObservationMethod",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ObservationMethod",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ObservationMethod: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65800
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ObservationMethod: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 67579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ObservationMethod'"
            },
            "expression": [
              "CodeSystem/v3-ObservationMethod: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99648
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ObservationMethod: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99648
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ObservationMethod: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ObservationMethod vs http://hl7.org/fhir/v3/ObservationMethod"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ObservationMethod"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ObservationValue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ObservationValue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 111488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 111462
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 113000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ObservationValue'"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193263
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 193263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-ObservationValue: CodeSystem.property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ObservationValue vs http://hl7.org/fhir/v3/ObservationValue"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ObservationValue"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ParticipationFunction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ParticipationFunction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ParticipationFunction: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19288
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ParticipationFunction: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ParticipationFunction'"
            },
            "expression": [
              "CodeSystem/v3-ParticipationFunction: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ParticipationFunction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33469
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ParticipationFunction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ParticipationFunction vs http://hl7.org/fhir/v3/ParticipationFunction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ParticipationFunction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ParticipationMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ParticipationMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4524
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ParticipationMode'"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8970
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8970
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ParticipationMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ParticipationMode vs http://hl7.org/fhir/v3/ParticipationMode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ParticipationMode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ParticipationSignature",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ParticipationSignature",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ParticipationSignature: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1292
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ParticipationSignature: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ParticipationSignature'"
            },
            "expression": [
              "CodeSystem/v3-ParticipationSignature: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ParticipationSignature: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3393
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ParticipationSignature: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ParticipationSignature vs http://hl7.org/fhir/v3/ParticipationSignature"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ParticipationSignature"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ParticipationType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ParticipationType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27976
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ParticipationType'"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48630
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ParticipationType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ParticipationType vs http://hl7.org/fhir/v3/ParticipationType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ParticipationType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-PatientImportance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-PatientImportance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-PatientImportance: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2261
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-PatientImportance: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-PatientImportance'"
            },
            "expression": [
              "CodeSystem/v3-PatientImportance: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-PatientImportance: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4603
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-PatientImportance: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-PatientImportance vs http://hl7.org/fhir/v3/PatientImportance"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-PatientImportance"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-PaymentTerms",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-PaymentTerms",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-PaymentTerms: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1614
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-PaymentTerms: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-PaymentTerms'"
            },
            "expression": [
              "CodeSystem/v3-PaymentTerms: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3811
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-PaymentTerms: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3811
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-PaymentTerms: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-PaymentTerms vs http://hl7.org/fhir/v3/PaymentTerms"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-PaymentTerms"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-PersonDisabilityType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-PersonDisabilityType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-PersonDisabilityType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2413
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-PersonDisabilityType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3749
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-PersonDisabilityType'"
            },
            "expression": [
              "CodeSystem/v3-PersonDisabilityType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-PersonDisabilityType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4677
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-PersonDisabilityType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-PersonDisabilityType vs http://hl7.org/fhir/v3/PersonDisabilityType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-PersonDisabilityType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ProbabilityDistributionType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ProbabilityDistributionType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ProbabilityDistributionType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5090
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ProbabilityDistributionType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ProbabilityDistributionType'"
            },
            "expression": [
              "CodeSystem/v3-ProbabilityDistributionType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ProbabilityDistributionType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10164
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ProbabilityDistributionType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ProbabilityDistributionType vs http://hl7.org/fhir/v3/ProbabilityDistributionType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ProbabilityDistributionType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ProcessingID",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ProcessingID",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ProcessingID: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ProcessingID: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ProcessingID'"
            },
            "expression": [
              "CodeSystem/v3-ProcessingID: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ProcessingID: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2813
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ProcessingID: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ProcessingID vs http://hl7.org/fhir/v3/ProcessingID"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ProcessingID"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ProcessingMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ProcessingMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ProcessingMode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1300
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ProcessingMode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ProcessingMode'"
            },
            "expression": [
              "CodeSystem/v3-ProcessingMode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ProcessingMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3048
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ProcessingMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ProcessingMode vs http://hl7.org/fhir/v3/ProcessingMode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ProcessingMode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-QueryParameterValue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryParameterValue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-QueryParameterValue: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5288
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-QueryParameterValue: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-QueryParameterValue'"
            },
            "expression": [
              "CodeSystem/v3-QueryParameterValue: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-QueryParameterValue: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9658
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-QueryParameterValue: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-QueryParameterValue vs http://hl7.org/fhir/v3/QueryParameterValue"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-QueryParameterValue"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-QueryPriority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryPriority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-QueryPriority: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-QueryPriority: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-QueryPriority'"
            },
            "expression": [
              "CodeSystem/v3-QueryPriority: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-QueryPriority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2464
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-QueryPriority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-QueryPriority vs http://hl7.org/fhir/v3/QueryPriority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-QueryPriority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-QueryRequestLimit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryRequestLimit",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-QueryRequestLimit: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1925
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-QueryRequestLimit: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-QueryRequestLimit'"
            },
            "expression": [
              "CodeSystem/v3-QueryRequestLimit: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-QueryRequestLimit: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4214
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-QueryRequestLimit: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-QueryRequestLimit vs http://hl7.org/fhir/v3/QueryRequestLimit"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-QueryRequestLimit"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-QueryResponse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryResponse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-QueryResponse: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1386
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-QueryResponse: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2801
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-QueryResponse'"
            },
            "expression": [
              "CodeSystem/v3-QueryResponse: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-QueryResponse: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3334
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-QueryResponse: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-QueryResponse vs http://hl7.org/fhir/v3/QueryResponse"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-QueryResponse"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-QueryStatusCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-QueryStatusCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-QueryStatusCode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1361
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-QueryStatusCode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-QueryStatusCode'"
            },
            "expression": [
              "CodeSystem/v3-QueryStatusCode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-QueryStatusCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3187
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-QueryStatusCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-QueryStatusCode vs http://hl7.org/fhir/v3/QueryStatusCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-QueryStatusCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-Race",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Race",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 156046
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-Race: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 156020
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-Race: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 158341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-Race'"
            },
            "expression": [
              "CodeSystem/v3-Race: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-Race: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 222488
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-Race: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-Race vs http://hl7.org/fhir/v3/Race"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-Race"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-RelationalOperator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RelationalOperator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-RelationalOperator: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2131
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-RelationalOperator: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3449
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-RelationalOperator'"
            },
            "expression": [
              "CodeSystem/v3-RelationalOperator: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-RelationalOperator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4418
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-RelationalOperator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-RelationalOperator vs http://hl7.org/fhir/v3/RelationalOperator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-RelationalOperator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-RelationshipConjunction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RelationshipConjunction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-RelationshipConjunction: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1229
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-RelationshipConjunction: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-RelationshipConjunction'"
            },
            "expression": [
              "CodeSystem/v3-RelationshipConjunction: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-RelationshipConjunction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2917
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-RelationshipConjunction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-RelationshipConjunction vs http://hl7.org/fhir/v3/RelationshipConjunction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-RelationshipConjunction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ReligiousAffiliation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ReligiousAffiliation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ReligiousAffiliation: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12154
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ReligiousAffiliation: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ReligiousAffiliation'"
            },
            "expression": [
              "CodeSystem/v3-ReligiousAffiliation: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ReligiousAffiliation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19251
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ReligiousAffiliation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ReligiousAffiliation vs http://hl7.org/fhir/v3/ReligiousAffiliation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ReligiousAffiliation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ResponseLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ResponseLevel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ResponseLevel: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2060
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ResponseLevel: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ResponseLevel'"
            },
            "expression": [
              "CodeSystem/v3-ResponseLevel: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ResponseLevel: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4498
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ResponseLevel: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ResponseLevel vs http://hl7.org/fhir/v3/ResponseLevel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ResponseLevel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ResponseModality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ResponseModality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ResponseModality: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ResponseModality: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ResponseModality'"
            },
            "expression": [
              "CodeSystem/v3-ResponseModality: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ResponseModality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3011
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ResponseModality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ResponseModality vs http://hl7.org/fhir/v3/ResponseModality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ResponseModality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-ResponseMode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ResponseMode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-ResponseMode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1299
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-ResponseMode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ResponseMode'"
            },
            "expression": [
              "CodeSystem/v3-ResponseMode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-ResponseMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3214
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-ResponseMode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-ResponseMode vs http://hl7.org/fhir/v3/ResponseMode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-ResponseMode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-RoleClass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleClass",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62974
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-RoleClass'"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 112874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 112874
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 112874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-RoleClass: CodeSystem.property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-RoleClass vs http://hl7.org/fhir/v3/RoleClass"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-RoleClass"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-RoleCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 135183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 135157
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 136537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-RoleCode'"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217779
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_BAD_HL7_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "Unknown CodeSystem Property 'http://hl7.org/fhir/concept-properties#deprecated'. If you are creating your own property, do not create it in the HL7 namespace"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/v3-RoleCode: CodeSystem.concept[26]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 217779
              },
              {
                "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/v3-RoleCode: CodeSystem.concept[26]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-RoleCode vs http://hl7.org/fhir/v3/RoleCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-RoleCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-RoleLinkStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleLinkStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2145
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkStatus: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2119
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkStatus: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-RoleLinkStatus'"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkStatus: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-RoleLinkStatus vs http://hl7.org/fhir/v3/RoleLinkStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-RoleLinkStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-RoleLinkType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleLinkType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3946
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-RoleLinkType'"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7714
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-RoleLinkType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-RoleLinkType vs http://hl7.org/fhir/v3/RoleLinkType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-RoleLinkType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-RoleStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-RoleStatus: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2152
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-RoleStatus: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3519
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-RoleStatus'"
            },
            "expression": [
              "CodeSystem/v3-RoleStatus: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4618
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-RoleStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4618
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-RoleStatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-RoleStatus vs http://hl7.org/fhir/v3/RoleStatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-RoleStatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-RouteOfAdministration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RouteOfAdministration",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 82324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 82298
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 83690
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-RouteOfAdministration'"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 129257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 129257
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-RouteOfAdministration: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-RouteOfAdministration vs http://hl7.org/fhir/v3/RouteOfAdministration"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-RouteOfAdministration"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-Sequencing",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-Sequencing",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-Sequencing: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1052
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-Sequencing: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2350
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-Sequencing'"
            },
            "expression": [
              "CodeSystem/v3-Sequencing: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-Sequencing: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2637
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-Sequencing: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-Sequencing vs http://hl7.org/fhir/v3/Sequencing"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-Sequencing"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-SetOperator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-SetOperator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-SetOperator: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2703
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-SetOperator: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-SetOperator'"
            },
            "expression": [
              "CodeSystem/v3-SetOperator: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-SetOperator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5361
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-SetOperator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-SetOperator vs http://hl7.org/fhir/v3/SetOperator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-SetOperator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-SpecimenType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-SpecimenType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-SpecimenType: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20687
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-SpecimenType: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21987
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-SpecimenType'"
            },
            "expression": [
              "CodeSystem/v3-SpecimenType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-SpecimenType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30839
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-SpecimenType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-SpecimenType vs http://hl7.org/fhir/v3/SpecimenType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-SpecimenType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-SubstitutionCondition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-SubstitutionCondition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2493
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-SubstitutionCondition: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2467
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-SubstitutionCondition: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-SubstitutionCondition'"
            },
            "expression": [
              "CodeSystem/v3-SubstitutionCondition: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-SubstitutionCondition: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4990
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-SubstitutionCondition: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-SubstitutionCondition vs http://hl7.org/fhir/v3/SubstitutionCondition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-SubstitutionCondition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-TableCellHorizontalAlign",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableCellHorizontalAlign",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1315
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-TableCellHorizontalAlign: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1289
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-TableCellHorizontalAlign: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-TableCellHorizontalAlign'"
            },
            "expression": [
              "CodeSystem/v3-TableCellHorizontalAlign: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-TableCellHorizontalAlign: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2996
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-TableCellHorizontalAlign: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-TableCellHorizontalAlign vs http://hl7.org/fhir/v3/TableCellHorizontalAlign"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-TableCellHorizontalAlign"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-TableCellScope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableCellScope",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-TableCellScope: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-TableCellScope: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-TableCellScope'"
            },
            "expression": [
              "CodeSystem/v3-TableCellScope: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-TableCellScope: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2709
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-TableCellScope: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-TableCellScope vs http://hl7.org/fhir/v3/TableCellScope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-TableCellScope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-TableCellVerticalAlign",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableCellVerticalAlign",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-TableCellVerticalAlign: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1160
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-TableCellVerticalAlign: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-TableCellVerticalAlign'"
            },
            "expression": [
              "CodeSystem/v3-TableCellVerticalAlign: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2811
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-TableCellVerticalAlign: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2811
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-TableCellVerticalAlign: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-TableCellVerticalAlign vs http://hl7.org/fhir/v3/TableCellVerticalAlign"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-TableCellVerticalAlign"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-TableFrame",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableFrame",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-TableFrame: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1546
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-TableFrame: CodeSystem.extension[0].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": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-TableFrame'"
            },
            "expression": [
              "CodeSystem/v3-TableFrame: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-TableFrame: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3420
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-TableFrame: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-TableFrame vs http://hl7.org/fhir/v3/TableFrame"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-TableFrame"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-TableRules",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TableRules",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-TableRules: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1134
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-TableRules: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-TableRules'"
            },
            "expression": [
              "CodeSystem/v3-TableRules: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-TableRules: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2784
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-TableRules: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-TableRules vs http://hl7.org/fhir/v3/TableRules"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-TableRules"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-TargetAwareness",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TargetAwareness",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1700
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-TargetAwareness: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1674
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-TargetAwareness: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-TargetAwareness'"
            },
            "expression": [
              "CodeSystem/v3-TargetAwareness: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-TargetAwareness: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3666
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-TargetAwareness: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-TargetAwareness vs http://hl7.org/fhir/v3/TargetAwareness"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-TargetAwareness"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-TelecommunicationCapabilities",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TelecommunicationCapabilities",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-TelecommunicationCapabilities: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1719
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-TelecommunicationCapabilities: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-TelecommunicationCapabilities'"
            },
            "expression": [
              "CodeSystem/v3-TelecommunicationCapabilities: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-TelecommunicationCapabilities: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3871
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-TelecommunicationCapabilities: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-TelecommunicationCapabilities vs http://hl7.org/fhir/v3/TelecommunicationCapabilities"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-TelecommunicationCapabilities"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-TimingEvent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TimingEvent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4275
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-TimingEvent'"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7850
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-TimingEvent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-TimingEvent vs http://hl7.org/fhir/v3/TimingEvent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-TimingEvent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-TransmissionRelationshipTypeCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TransmissionRelationshipTypeCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-TransmissionRelationshipTypeCode: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1010
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-TransmissionRelationshipTypeCode: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-TransmissionRelationshipTypeCode'"
            },
            "expression": [
              "CodeSystem/v3-TransmissionRelationshipTypeCode: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-TransmissionRelationshipTypeCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2786
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-TransmissionRelationshipTypeCode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-TransmissionRelationshipTypeCode vs http://hl7.org/fhir/v3/TransmissionRelationshipTypeCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-TransmissionRelationshipTypeCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-TribalEntityUS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-TribalEntityUS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 118382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-TribalEntityUS: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 118356
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-TribalEntityUS: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 119740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-TribalEntityUS'"
            },
            "expression": [
              "CodeSystem/v3-TribalEntityUS: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-TribalEntityUS: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 186191
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-TribalEntityUS: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-TribalEntityUS vs http://hl7.org/fhir/v3/TribalEntityUS"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-TribalEntityUS"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-VaccineManufacturer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-VaccineManufacturer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-VaccineManufacturer: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8413
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-VaccineManufacturer: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-VaccineManufacturer'"
            },
            "expression": [
              "CodeSystem/v3-VaccineManufacturer: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-VaccineManufacturer: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14795
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-VaccineManufacturer: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-VaccineManufacturer vs http://hl7.org/fhir/v3/VaccineManufacturer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-VaccineManufacturer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-hl7Realm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7Realm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-hl7Realm: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10837
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-hl7Realm: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-hl7Realm'"
            },
            "expression": [
              "CodeSystem/v3-hl7Realm: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-hl7Realm: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19640
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-hl7Realm: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-hl7Realm vs http://hl7.org/fhir/v3/hl7Realm"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-hl7Realm"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-hl7V3Conformance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-hl7V3Conformance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2688
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-hl7V3Conformance: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2662
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-hl7V3Conformance: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-hl7V3Conformance'"
            },
            "expression": [
              "CodeSystem/v3-hl7V3Conformance: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-hl7V3Conformance: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5631
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-hl7V3Conformance: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-hl7V3Conformance vs http://hl7.org/fhir/v3/hl7V3Conformance"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-hl7V3Conformance"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-orderableDrugForm",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-orderableDrugForm",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-orderableDrugForm: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40034
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-orderableDrugForm: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-orderableDrugForm'"
            },
            "expression": [
              "CodeSystem/v3-orderableDrugForm: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-orderableDrugForm: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61140
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-orderableDrugForm: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-orderableDrugForm vs http://hl7.org/fhir/v3/orderableDrugForm"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-orderableDrugForm"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-v3-substanceAdminSubstitution",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-substanceAdminSubstitution",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5965
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-substanceAdminSubstitution'"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11211
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/v3-substanceAdminSubstitution: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/v3-substanceAdminSubstitution vs http://hl7.org/fhir/v3/substanceAdminSubstitution"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-v3-substanceAdminSubstitution"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-vaccination-protocol-dose-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vaccination-protocol-dose-status-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/vaccination-protocol-dose-status-reason: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2077
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/vaccination-protocol-dose-status-reason: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3752
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status-reason'"
            },
            "expression": [
              "CodeSystem/vaccination-protocol-dose-status-reason: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "CodeSystem/vaccination-protocol-dose-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4642
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/vaccination-protocol-dose-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/vaccination-protocol-dose-status-reason vs http://hl7.org/fhir/vaccination-protocol-dose-status-reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-vaccination-protocol-dose-status-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-vaccination-protocol-dose-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vaccination-protocol-dose-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/vaccination-protocol-dose-status: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/vaccination-protocol-dose-status: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status'"
            },
            "expression": [
              "CodeSystem/vaccination-protocol-dose-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "CodeSystem/vaccination-protocol-dose-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3121
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/vaccination-protocol-dose-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/vaccination-protocol-dose-status vs http://hl7.org/fhir/vaccination-protocol-dose-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-vaccination-protocol-dose-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-variant-state",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-variant-state",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/variant-state: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 996
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/variant-state: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/variant-state: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/variant-state has an 'all system' value set of http://hl7.org/fhir/ValueSet/variant-state, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/variant-state)"
            },
            "expression": [
              "CodeSystem/variant-state: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2578
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/variant-state: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/variant-state vs http://hl7.org/fhir/variant-state"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-variant-state"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-versioning-policy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-versioning-policy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1345
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/versioning-policy: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1316
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/versioning-policy: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/versioning-policy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3119
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/versioning-policy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/versioning-policy vs http://hl7.org/fhir/versioning-policy"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-versioning-policy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-vision-base-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vision-base-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/vision-base-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1120
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/vision-base-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/vision-base-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2667
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/vision-base-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/vision-base-codes vs http://hl7.org/fhir/vision-base-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-vision-base-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-vision-eye-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vision-eye-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/vision-eye-codes: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/vision-eye-codes: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/vision-eye-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2355
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/vision-eye-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/vision-eye-codes vs http://hl7.org/fhir/vision-eye-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-vision-eye-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-vision-product",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vision-product",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/vision-product: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 999
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/vision-product: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/vision-product: 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_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/ex-visionprescriptionproduct has an 'all system' value set of http://hl7.org/fhir/ValueSet/vision-product|4.3.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct)"
            },
            "expression": [
              "CodeSystem/vision-product: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2658
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/vision-product: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/vision-product vs http://hl7.org/fhir/ex-visionprescriptionproduct"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-vision-product"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/CodeSystem-w3c-provenance-activity-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-w3c-provenance-activity-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXT_Unknown_NotHere"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status could not be found so is not allowed here"
            },
            "expression": [
              "CodeSystem/w3c-provenance-activity-type: CodeSystem.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7026
              },
              {
                "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/StructureDefinition/structuredefinition-ballot-status'"
            },
            "expression": [
              "CodeSystem/w3c-provenance-activity-type: CodeSystem.extension[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/w3c-provenance-activity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14100
              },
              {
                "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.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/w3c-provenance-activity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/3.0/CodeSystem/w3c-provenance-activity-type vs http://hl7.org/fhir/w3c-provenance-activity-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r3.r4b/input/vocabulary/CodeSystem-w3c-provenance-activity-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-abstract-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-abstract-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-abstract-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-account-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-account-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3313
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-account-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-account-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-account-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-account-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-action-cardinality-behavior-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-action-cardinality-behavior-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-action-cardinality-behavior-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-action-condition-kind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-action-condition-kind-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-action-condition-kind-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-action-grouping-behavior-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-action-grouping-behavior-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-action-grouping-behavior-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-action-participant-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-action-participant-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-action-participant-role-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "informational",
            "details": {
              "text": "This value set has a single include with multiple imported value sets. Per issue https://jira.hl7.org/browse/FHIR-25179, there has been confusion in the past whether these value sets are unioned or intersectioned. If this value set is contained in a package published prior to March 31 2022, it will be treated as a union, otherwise it will be treated as an intersection. If want a union, split the value set imports across multiple includes"
            },
            "expression": [
              "ValueSet/R3-action-participant-role-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-action-participant-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-action-participant-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-action-participant-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-action-precheck-behavior-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-action-precheck-behavior-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-action-precheck-behavior-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-action-relationship-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-action-relationship-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-action-relationship-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-action-required-behavior-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-action-required-behavior-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-action-required-behavior-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-action-selection-behavior-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-action-selection-behavior-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-action-selection-behavior-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-action-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-action-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-action-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-actionlist-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-actionlist-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-actionlist-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-activity-definition-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-activity-definition-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-activity-definition-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-activity-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-activity-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-activity-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-additional-instruction-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-additional-instruction-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-additional-instruction-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-additionalmaterials-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-additionalmaterials-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-additionalmaterials-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-address-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-address-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-address-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-address-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-address-use-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-address-use-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-adjudication-error-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-adjudication-error-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-adjudication-error-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-adjudication-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-adjudication-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3597
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-adjudication-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-adjudication-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-adjudication-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2746
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-adjudication-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-administration-method-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-administration-method-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-administration-method-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-administrative-gender-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-administrative-gender-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-administrative-gender-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-adverse-event-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-adverse-event-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R3-adverse-event-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-adverse-event-causality-assess-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-adverse-event-causality-assess-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R3-adverse-event-causality-assess-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-adverse-event-causality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-adverse-event-causality-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R3-adverse-event-causality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-adverse-event-causality-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-adverse-event-causality-method-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R3-adverse-event-causality-method-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-adverse-event-causality-result-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-adverse-event-causality-result-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R3-adverse-event-causality-result-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-adverse-event-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-adverse-event-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3816
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R3-adverse-event-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-adverse-event-seriousness-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-adverse-event-seriousness-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R3-adverse-event-seriousness-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-adverse-event-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-adverse-event-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R3-adverse-event-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-age-units-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-age-units-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-age-units-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-all-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-all-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-all-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-allerg-intol-substance-exp-risk-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-allerg-intol-substance-exp-risk-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-allerg-intol-substance-exp-risk-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-allergy-clinical-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-allergy-clinical-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-allergy-clinical-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-allergy-intolerance-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-allergy-intolerance-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-allergy-intolerance-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-allergy-intolerance-criticality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-allergy-intolerance-criticality-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-allergy-intolerance-criticality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-allergy-intolerance-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-allergy-intolerance-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-allergy-intolerance-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-allergy-verification-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-allergy-verification-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-allergy-verification-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-allergyintolerance-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-allergyintolerance-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-allergyintolerance-code-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('418038007')"
            },
            "expression": [
              "ValueSet/R3-allergyintolerance-code-for-R4B: ValueSet.compose.include[1].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('267425008')"
            },
            "expression": [
              "ValueSet/R3-allergyintolerance-code-for-R4B: ValueSet.compose.include[2].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('190753003')"
            },
            "expression": [
              "ValueSet/R3-allergyintolerance-code-for-R4B: ValueSet.compose.include[5].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('413427002')"
            },
            "expression": [
              "ValueSet/R3-allergyintolerance-code-for-R4B: ValueSet.compose.include[6].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-animal-breeds-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-animal-breeds-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 437652
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-animal-breeds-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-animal-genderstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-animal-genderstatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-animal-genderstatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-animal-species-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-animal-species-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-animal-species-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-appointmentstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-appointmentstatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-appointmentstatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-approach-site-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-approach-site-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-approach-site-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-assert-direction-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-assert-direction-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-assert-direction-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-assert-operator-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-assert-operator-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-assert-operator-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-assert-response-code-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-assert-response-code-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-assert-response-code-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-audit-entity-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-audit-entity-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-audit-entity-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-audit-event-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-audit-event-action-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-audit-event-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-audit-event-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-audit-event-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-audit-event-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-audit-event-sub-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-audit-event-sub-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-audit-event-sub-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-audit-event-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-audit-event-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-audit-event-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-audit-source-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-audit-source-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-audit-source-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-basic-resource-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-basic-resource-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-basic-resource-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-benefit-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-benefit-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-benefit-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-benefit-network-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-benefit-network-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-benefit-network-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-benefit-subcategory-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-benefit-subcategory-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15744
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-benefit-subcategory-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-benefit-term-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-benefit-term-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-benefit-term-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-benefit-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-benefit-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-benefit-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-benefit-unit-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-benefit-unit-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-benefit-unit-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-body-site-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-body-site-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-body-site-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-bodysite-laterality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-bodysite-laterality-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'ii' means that the publisher should be 'HL7 International / Imaging Integration' but 'Imaging Integration' was found"
            },
            "expression": [
              "ValueSet/R3-bodysite-laterality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-bodysite-relative-location-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-bodysite-relative-location-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-bodysite-relative-location-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-c80-doc-classcodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-c80-doc-classcodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9540
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-c80-doc-classcodes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-c80-doc-typecodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-c80-doc-typecodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-c80-doc-typecodes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-c80-facilitycodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-c80-facilitycodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-c80-facilitycodes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-c80-practice-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-c80-practice-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21067
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-c80-practice-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-care-plan-activity-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-care-plan-activity-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-care-plan-activity-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-care-plan-activity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-care-plan-activity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-care-plan-activity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-care-plan-activity-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-care-plan-activity-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-care-plan-activity-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-care-plan-activity-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-care-plan-activity-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3056
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-care-plan-activity-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-care-plan-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-care-plan-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-care-plan-category-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('278448002')"
            },
            "expression": [
              "ValueSet/R3-care-plan-category-for-R4B: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-care-plan-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-care-plan-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-care-plan-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-care-team-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-care-team-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-care-team-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-chargeitem-billingcodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-chargeitem-billingcodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-chargeitem-billingcodes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-choice-list-orientation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-choice-list-orientation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-choice-list-orientation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-chromosome-human-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-chromosome-human-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R3-chromosome-human-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-claim-careteamrole-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-claim-careteamrole-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-claim-careteamrole-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-claim-exception-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-claim-exception-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-claim-exception-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-claim-informationcategory-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-claim-informationcategory-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-claim-informationcategory-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-claim-modifiers-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-claim-modifiers-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-claim-modifiers-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-claim-subtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-claim-subtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-claim-subtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-claim-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-claim-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-claim-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-claim-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-claim-use-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-claim-use-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-classification-or-context-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-classification-or-context-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-classification-or-context-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-clinical-findings-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-clinical-findings-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-clinical-findings-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-clinical-impression-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-clinical-impression-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-clinical-impression-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-clinicalimpression-prognosis-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-clinicalimpression-prognosis-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-clinicalimpression-prognosis-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-codesystem-content-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-codesystem-content-mode-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-codesystem-hierarchy-meaning-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-codesystem-hierarchy-meaning-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-common-tags-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-common-tags-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-common-tags-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-communication-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-communication-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-communication-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-communication-not-done-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-communication-not-done-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-communication-not-done-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-compartment-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-compartment-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-compartment-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-composite-measure-scoring-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-composite-measure-scoring-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "ValueSet/R3-composite-measure-scoring-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-composition-attestation-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-composition-attestation-mode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-composition-attestation-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-composition-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-composition-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-composition-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-concept-map-equivalence-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-concept-map-equivalence-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-concept-property-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-concept-property-type-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-conceptmap-unmapped-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-conceptmap-unmapped-mode-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-condition-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-condition-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-condition-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-condition-cause-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-condition-cause-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-condition-cause-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-condition-clinical-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-condition-clinical-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-condition-clinical-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-condition-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-condition-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-condition-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-condition-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-condition-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-condition-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-condition-predecessor-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-condition-predecessor-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-condition-predecessor-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-condition-severity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-condition-severity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2575
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-condition-severity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-condition-stage-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-condition-stage-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-condition-stage-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-condition-state-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-condition-state-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-condition-state-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-condition-ver-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-condition-ver-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-condition-ver-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-conditional-delete-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-conditional-delete-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2958
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-conditional-delete-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-conditional-read-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-conditional-read-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-conditional-read-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-conformance-expectation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-conformance-expectation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-conformance-expectation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-consent-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-consent-action-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R3-consent-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-consent-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-consent-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActConsentType'"
            },
            "expression": [
              "ValueSet/R3-consent-category-for-R4B: ValueSet.compose.include[1].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R3-consent-category-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The value set import http://hl7.org/fhir/ValueSet/v3-ActConsentType could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R3-consent-category-for-R4B: ValueSet.compose.include[1].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unable to find included value set 'http://hl7.org/fhir/ValueSet/v3-ActConsentType'"
            },
            "expression": [
              "ValueSet.where(id = 'R3-consent-category-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-consent-content-class-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-consent-content-class-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87035
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99711
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99853
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99976
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100104
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100234
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[4].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100375
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[5].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100527
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[6].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100685
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[7].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100831
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[8].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100976
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[9].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101117
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[10].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101252
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[11].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101377
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[12].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101507
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[13].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101618
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[14].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101729
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[15].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101842
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[16].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101957
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[17].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102068
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[18].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102183
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[19].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102296
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[20].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102409
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[21].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102522
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[22].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102637
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[23].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102750
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[24].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102863
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[25].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102976
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[26].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 103113
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[27].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 103275
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[28].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 103414
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[29].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 103550
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[30].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 103690
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[31].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 103841
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[32].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 103994
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[33].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104124
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[34].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104246
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[35].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104366
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[36].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104534
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[37].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104667
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[38].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104788
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[39].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104917
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[40].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 105031
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[41].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 105143
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[42].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 105292
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[43].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 105443
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[44].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 105608
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[45].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 105779
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[46].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 105948
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[47].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106123
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[48].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106296
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[49].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106463
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[50].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106630
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[51].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106801
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[52].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106972
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[53].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107153
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[54].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107322
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[55].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107500
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[56].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107674
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[57].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107843
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[58].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 108019
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[59].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 108190
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[60].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 108379
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[61].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 108568
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[62].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 108741
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[63].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 108928
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[64].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109099
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[65].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109219
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[66].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109341
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[67].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109461
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[68].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109581
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[69].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109777
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[70].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109973
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[71].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110169
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.expansion.contains[72].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 124161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING_VER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System/Version 'urn:oid:1.3.6.1.4.1.19376.1.2.3#3.0.2' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'urn:oid:1.3.6.1.4.1.19376.1.2.3' version '3.0.2' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R3-consent-content-class-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-consent-content-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-consent-content-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R3-consent-content-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-consistency-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-consistency-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-consistency-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contact-point-system-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contact-point-system-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-contact-point-system-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contact-point-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contact-point-use-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-contact-point-use-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contactentity-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contactentity-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3816
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-contactentity-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-content-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-content-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-content-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contract-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contract-action-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-contract-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contract-actorrole-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contract-actorrole-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-contract-actorrole-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contract-content-derivative-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contract-content-derivative-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-contract-content-derivative-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contract-signer-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contract-signer-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-contract-signer-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contract-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contract-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-contract-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contract-subtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contract-subtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-contract-subtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contract-term-subtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contract-term-subtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-contract-term-subtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contract-term-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contract-term-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-contract-term-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contract-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contract-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-contract-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-contributor-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-contributor-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3254
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-contributor-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-copy-number-event-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-copy-number-event-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3621
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-copy-number-event-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-coverage-level-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-coverage-level-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-coverage-level-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-coverage-selfpay-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-coverage-selfpay-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-coverage-selfpay-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-coverage-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-coverage-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-coverage-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-cpt-all-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-cpt-all-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1921
              },
              {
                "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://example.org/fhir/CodeSystem/use-contexts' could not be found, so the code cannot be validated"
            },
            "expression": [
              "ValueSet/R3-cpt-all-for-R4B: ValueSet.useContext[0].code.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-cpt-all-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-cqif-evidence-quality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-cqif-evidence-quality-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-cqif-evidence-quality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-cqif-recommendation-strength-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-cqif-recommendation-strength-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2859
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-cqif-recommendation-strength-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-data-absent-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-data-absent-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-data-absent-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-data-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-data-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-data-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-dataelement-sdcobjectclass-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-dataelement-sdcobjectclass-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-dataelement-sdcobjectclass-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-dataelement-sdcobjectclassproperty-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-dataelement-sdcobjectclassproperty-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-dataelement-sdcobjectclassproperty-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-dataelement-stringency-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-dataelement-stringency-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-dataelement-stringency-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-days-of-week-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-days-of-week-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-days-of-week-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-defined-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-defined-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 72591
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-defined-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-definition-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-definition-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-definition-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-definition-topic-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-definition-topic-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-definition-topic-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-designation-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-designation-use-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-detectedissue-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-detectedissue-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-detectedissue-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-detectedissue-mitigation-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-detectedissue-mitigation-action-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-detectedissue-mitigation-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-detectedissue-severity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-detectedissue-severity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-detectedissue-severity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-device-action-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-device-action-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-device-action-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-device-kind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-device-kind-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2097
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-device-kind-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-device-safety-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-device-safety-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-device-safety-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_WRONG_CS_OID"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "It is not valid to refer to a CodeSystem by an identifier like this 'urn:oid:2.16.840.1.113883.3.26.1.1' - use 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl'"
            },
            "expression": [
              "ValueSet/R3-device-safety-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING_VER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System/Version 'urn:oid:2.16.840.1.113883.3.26.1.1#3.0.2' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'urn:oid:2.16.840.1.113883.3.26.1.1' version '3.0.2' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R3-device-safety-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-device-statement-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-device-statement-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-device-statement-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-device-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-device-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4568
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-device-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-devicemetric-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-devicemetric-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "ValueSet/R3-devicemetric-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-diagnosis-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-diagnosis-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-diagnosis-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-diagnostic-report-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-diagnostic-report-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-diagnostic-report-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-diagnostic-service-sections-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-diagnostic-service-sections-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-diagnostic-service-sections-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-dicm-405-mediatype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-dicm-405-mediatype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-dicm-405-mediatype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-dicom-cid29-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-dicom-cid29-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'ii' means that the publisher should be 'HL7 International / Imaging Integration' but 'Imaging Integration' was found"
            },
            "expression": [
              "ValueSet/R3-dicom-cid29-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-diet-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-diet-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-diet-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-digital-media-subtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-digital-media-subtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/dicom-cid29'"
            },
            "expression": [
              "ValueSet/R3-digital-media-subtype-for-R4B: ValueSet.compose.include[0].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-digital-media-subtype-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The value set import http://hl7.org/fhir/ValueSet/dicom-cid29 could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R3-digital-media-subtype-for-R4B: ValueSet.compose.include[0].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unable to find included value set 'http://hl7.org/fhir/ValueSet/dicom-cid29'"
            },
            "expression": [
              "ValueSet.where(id = 'R3-digital-media-subtype-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-discriminator-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-discriminator-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-discriminator-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-doc-classcodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-doc-classcodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-doc-classcodes-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'LP173403-9' is not valid in the system http://loinc.org (Unknown code 'LP173403-9' in the CodeSystem 'http://loinc.org' version '2.81')"
            },
            "expression": [
              "ValueSet/R3-doc-classcodes-for-R4B: ValueSet.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'LP173406-2' is not valid in the system http://loinc.org (Unknown code 'LP173406-2' in the CodeSystem 'http://loinc.org' version '2.81')"
            },
            "expression": [
              "ValueSet/R3-doc-classcodes-for-R4B: ValueSet.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'LP173413-8' is not valid in the system http://loinc.org (Unknown code 'LP173413-8' in the CodeSystem 'http://loinc.org' version '2.81')"
            },
            "expression": [
              "ValueSet/R3-doc-classcodes-for-R4B: ValueSet.compose.include[0].concept[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'LP173416-1' is not valid in the system http://loinc.org (Unknown code 'LP173416-1' in the CodeSystem 'http://loinc.org' version '2.81')"
            },
            "expression": [
              "ValueSet/R3-doc-classcodes-for-R4B: ValueSet.compose.include[0].concept[22]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-doc-section-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-doc-section-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-doc-section-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-doc-typecodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-doc-typecodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-doc-typecodes-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_CHANGE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The value for a filter based on property 'SCALE_TYP' must be a valid code from the system 'http://loinc.org', and 'Doc' is not (Unknown code 'Doc' in the CodeSystem 'http://loinc.org' version '2.81'). Note that this is change from the past; terminology servers are expected to still continue to support this filter"
            },
            "expression": [
              "ValueSet/R3-doc-typecodes-for-R4B: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-document-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-document-mode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2727
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-document-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-document-reference-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-document-reference-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-document-reference-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-document-relationship-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-document-relationship-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-document-relationship-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-encounter-admit-source-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-encounter-admit-source-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-encounter-admit-source-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-encounter-diet-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-encounter-diet-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-encounter-diet-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-encounter-discharge-disposition-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-encounter-discharge-disposition-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-encounter-discharge-disposition-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-encounter-participant-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-encounter-participant-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-encounter-participant-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-encounter-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-encounter-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-encounter-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-encounter-special-arrangements-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-encounter-special-arrangements-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-encounter-special-arrangements-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-encounter-special-courtesy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-encounter-special-courtesy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-encounter-special-courtesy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-encounter-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-encounter-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-encounter-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-endpoint-payload-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-endpoint-payload-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23448
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.compose.include[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29726
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29868
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29991
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[4].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30119
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[5].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30249
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[6].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30390
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[7].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30542
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[8].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30700
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[9].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30846
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[10].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30991
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[11].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31132
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[12].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31267
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[13].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31392
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[14].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31522
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[15].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31633
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[16].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31744
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[17].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31857
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[18].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31972
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[19].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32083
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[20].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32198
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[21].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32311
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[22].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32424
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[23].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32537
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[24].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32652
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[25].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32765
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[26].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32878
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[27].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32991
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[28].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33128
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[29].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33290
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[30].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33429
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[31].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33565
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[32].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33705
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[33].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33856
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[34].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34009
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[35].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34139
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[36].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34261
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[37].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34381
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[38].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34549
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[39].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34682
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[40].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34803
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[41].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34932
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[42].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35046
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[43].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35158
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[44].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35307
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[45].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35458
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[46].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35623
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[47].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35794
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[48].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35963
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[49].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36138
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[50].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36311
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[51].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36478
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[52].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36645
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[53].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36816
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[54].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36987
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[55].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37168
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[56].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37337
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[57].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37515
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[58].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37689
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[59].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37858
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[60].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38034
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[61].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38205
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[62].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38394
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[63].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38583
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[64].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38756
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[65].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38943
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[66].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39114
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[67].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39234
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[68].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39356
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[69].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39476
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[70].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39596
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[71].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39788
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.expansion.contains[72].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING_VER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System/Version 'urn:oid:1.3.6.1.4.1.19376.1.2.3#3.0.2' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'urn:oid:1.3.6.1.4.1.19376.1.2.3' version '3.0.2' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R3-endpoint-payload-type-for-R4B: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-entformula-additive-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-entformula-additive-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-entformula-additive-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-entformula-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-entformula-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-entformula-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-episodeofcare-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-episodeofcare-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-episodeofcare-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-event-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-event-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-event-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-event-timing-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-event-timing-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10519
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-event-timing-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ex-diagnosisrelatedgroup-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ex-diagnosisrelatedgroup-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-ex-diagnosisrelatedgroup-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ex-diagnosistype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ex-diagnosistype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-ex-diagnosistype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ex-onsettype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ex-onsettype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-ex-onsettype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ex-payee-resource-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ex-payee-resource-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-ex-payee-resource-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ex-paymenttype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ex-paymenttype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-ex-paymenttype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ex-program-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ex-program-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-ex-program-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ex-revenue-center-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ex-revenue-center-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-ex-revenue-center-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-example-expansion-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-example-expansion-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-example-expansion-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-example-extensional-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-example-extensional-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-example-extensional-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-example-intensional-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-example-intensional-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-example-intensional-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_CHANGE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The value for a filter based on property 'parent' must be a valid code from the system 'http://loinc.org', and 'LP43571-6' is not (Unknown code 'LP43571-6' in the CodeSystem 'http://loinc.org' version '2.81'). Note that this is change from the past; terminology servers are expected to still continue to support this filter"
            },
            "expression": [
              "ValueSet/R3-example-intensional-for-R4B: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-explanationofbenefit-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-explanationofbenefit-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-explanationofbenefit-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-extension-context-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-extension-context-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-extension-context-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-filter-operator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-filter-operator-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-fips-county-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-fips-county-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 707744
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 843500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 843610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 843717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 843826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 843930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[4].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 844036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[5].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 844142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[6].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 844248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[7].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 844354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[8].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 844460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[9].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 844566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[10].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 844672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[11].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 844778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[12].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 844884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[13].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 844990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[14].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 845096
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[15].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 845202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[16].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 845308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[17].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 845414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[18].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 845520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[19].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 845626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[20].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 845734
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[21].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 845843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[22].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 845950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[23].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 846060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[24].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 846173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[25].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 846282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[26].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 846388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[27].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 846499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[28].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 846612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[29].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 846718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[30].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 846827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[31].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 846933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[32].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 847040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[33].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 847148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[34].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 847257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[35].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 847365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[36].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 847473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[37].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 847580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[38].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 847687
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[39].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 847797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[40].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 847904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[41].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 848011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[42].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 848126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[43].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 848246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[44].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 848356
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[45].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 848466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[46].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 848584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[47].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 848692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[48].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 848798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[49].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 848908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[50].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 849016
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[51].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 849125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[52].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 849234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[53].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 849344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[54].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 849454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[55].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 849564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[56].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 849670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[57].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 849776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[58].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 849882
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[59].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 849988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[60].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 850094
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[61].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 850204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[62].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 850311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[63].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 850418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[64].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 850525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[65].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 850632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[66].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 850740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[67].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 850846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[68].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 850953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[69].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 851063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[70].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 851172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[71].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 851281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[72].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 851390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[73].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 851499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[74].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 851608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[75].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 851715
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[76].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 851823
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[77].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 851936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[78].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 852043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[79].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 852152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[80].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 852265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[81].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 852371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[82].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 852477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[83].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 852586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[84].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 852693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[85].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 852800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[86].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 852910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[87].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 853018
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[88].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 853129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[89].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 853237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[90].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 853346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[91].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 853453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[92].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 853563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[93].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 853671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[94].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 853778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[95].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 853887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[96].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 853997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[97].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 854107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[98].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 854217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[99].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 854322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[100].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 854432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[101].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 854539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[102].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 854646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[103].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 854756
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[104].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 854861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[105].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 854969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[106].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 855077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[107].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 855184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[108].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 855294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[109].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 855401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[110].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 855512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[111].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 855621
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[112].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 855730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[113].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 855839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[114].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 855946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[115].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 856055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[116].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 856164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[117].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 856270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[118].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 856377
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[119].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 856485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[120].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 856593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[121].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 856702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[122].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 856810
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[123].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 856914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[124].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 857021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[125].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 857128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[126].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 857236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[127].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 857342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[128].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 857452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[129].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 857557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[130].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 857663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[131].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 857770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[132].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 857876
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[133].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 857982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[134].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 858088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[135].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 858201
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[136].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 858309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[137].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 858417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[138].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 858525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[139].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 858635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[140].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 858752
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[141].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 858860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[142].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 858968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[143].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 859074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[144].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 859181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[145].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 859289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[146].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 859396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[147].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 859503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[148].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 859611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[149].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 859719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[150].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 859831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[151].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 859938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[152].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 860049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[153].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 860158
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[154].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 860271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[155].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 860378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[156].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 860485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[157].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 860592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[158].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 860698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[159].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 860804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[160].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 860916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[161].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 861023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[162].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 861130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[163].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 861237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[164].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 861345
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[165].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 861451
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[166].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 861556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[167].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 861661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[168].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 861768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[169].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 861872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[170].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 861976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[171].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[172].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[173].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[174].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[175].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[176].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[177].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[178].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[179].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 862953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[180].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 863060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[181].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 863167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[182].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 863278
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[183].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 863385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[184].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 863493
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[185].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 863601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[186].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 863709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[187].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 863817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[188].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 863932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[189].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 864036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[190].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 864144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[191].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 864249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[192].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 864354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[193].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 864462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[194].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 864571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[195].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 864680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[196].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 864788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[197].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 864896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[198].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 865007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[199].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 865114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[200].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 865219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[201].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 865326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[202].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 865433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[203].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 865540
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[204].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 865647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[205].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 865754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[206].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 865861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[207].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 865968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[208].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 866075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[209].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 866182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[210].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 866289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[211].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 866396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[212].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 866505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[213].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 866614
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[214].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 866720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[215].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 866830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[216].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 866941
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[217].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[218].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[219].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[220].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[221].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[222].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[223].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[224].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[225].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 867911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[226].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 868020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[227].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 868130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[228].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 868236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[229].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 868343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[230].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 868452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[231].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 868560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[232].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 868671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[233].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 868781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[234].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 868888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[235].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 868995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[236].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 869102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[237].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 869209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[238].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 869316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[239].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 869422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[240].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 869529
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[241].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 869635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[242].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 869744
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[243].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 869852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[244].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 869959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[245].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 870066
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[246].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 870177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[247].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 870283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[248].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 870389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[249].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 870497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[250].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 870607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[251].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 870717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[252].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 870822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[253].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 870929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[254].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 871040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[255].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 871146
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[256].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 871252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[257].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 871358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[258].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 871464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[259].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 871570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[260].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 871676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[261].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 871782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[262].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 871888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[263].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 871995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[264].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 872102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[265].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 872210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[266].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 872320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[267].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 872430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[268].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 872538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[269].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 872647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[270].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 872755
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[271].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 872863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[272].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 872969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[273].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 873076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[274].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 873186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[275].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 873296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[276].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 873401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[277].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 873506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[278].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 873612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[279].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 873720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[280].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 873829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[281].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 873938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[282].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 874046
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[283].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 874154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[284].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 874261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[285].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 874370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[286].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 874478
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[287].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 874587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[288].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 874694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[289].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 874804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[290].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 874917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[291].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 875024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[292].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 875132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[293].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 875241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[294].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 875349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[295].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 875457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[296].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 875565
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[297].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 875680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[298].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 875792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[299].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 875903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[300].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 876009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[301].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 876116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[302].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 876226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[303].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 876333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[304].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 876440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[305].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 876547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[306].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 876658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[307].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 876766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[308].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 876872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[309].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 876978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[310].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 877084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[311].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 877190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[312].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 877296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[313].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 877402
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[314].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 877508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[315].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 877614
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[316].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 877720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[317].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 877826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[318].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 877936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[319].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 878046
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[320].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 878152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[321].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 878258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[322].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 878367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[323].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 878476
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[324].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 878585
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[325].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 878696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[326].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 878802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[327].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 878914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[328].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[329].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[330].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[331].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[332].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[333].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[334].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[335].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[336].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 879897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[337].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[338].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[339].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[340].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[341].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[342].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[343].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[344].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[345].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[346].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 880971
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[347].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[348].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[349].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[350].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[351].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[352].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881613
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[353].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[354].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[355].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 881932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[356].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 882038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[357].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 882144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[358].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 882253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[359].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 882360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[360].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 882470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[361].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 882576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[362].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 882682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[363].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 882788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[364].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 882895
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[365].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 883005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[366].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 883115
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[367].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 883224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[368].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 883333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[369].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 883442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[370].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 883551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[371].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 883660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[372].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 883770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[373].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 883878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[374].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 883986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[375].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 884094
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[376].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 884202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[377].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 884310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[378].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 884418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[379].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 884526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[380].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 884634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[381].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 884742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[382].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 884850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[383].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 884958
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[384].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 885067
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[385].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 885176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[386].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 885285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[387].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 885393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[388].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 885501
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[389].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 885607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[390].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 885715
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[391].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 885822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[392].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 885929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[393].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 886036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[394].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 886143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[395].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 886251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[396].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 886359
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[397].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 886467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[398].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 886572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[399].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 886681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[400].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 886790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[401].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 886899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[402].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 887008
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[403].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 887117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[404].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 887223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[405].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 887332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[406].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 887440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[407].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 887547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[408].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 887657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[409].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 887764
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[410].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 887879
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[411].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 887988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[412].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 888095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[413].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 888202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[414].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 888309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[415].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 888416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[416].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 888524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[417].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 888633
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[418].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 888741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[419].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 888850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[420].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 888959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[421].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 889068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[422].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 889176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[423].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 889284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[424].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 889392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[425].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 889500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[426].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 889608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[427].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 889716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[428].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 889824
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[429].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 889932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[430].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 890040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[431].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 890148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[432].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 890256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[433].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 890364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[434].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 890472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[435].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 890579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[436].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 890698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[437].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 890805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[438].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 890912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[439].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 891019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[440].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 891126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[441].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 891233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[442].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 891342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[443].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 891449
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[444].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 891557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[445].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 891663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[446].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 891768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[447].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 891873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[448].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 891978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[449].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[450].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[451].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[452].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[453].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[454].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[455].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892715
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[456].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[457].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 892930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[458].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[459].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[460].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[461].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[462].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[463].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[464].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[465].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[466].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 893904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[467].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[468].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[469].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[470].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[471].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[472].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[473].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[474].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[475].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[476].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 894979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[477].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 895089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[478].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 895199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[479].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 895308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[480].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 895416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[481].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 895529
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[482].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 895641
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[483].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 895752
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[484].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 895863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[485].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 895973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[486].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 896083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[487].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 896206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[488].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 896315
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[489].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 896421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[490].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 896527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[491].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 896635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[492].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 896743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[493].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 896857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[494].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 896967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[495].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 897078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[496].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 897189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[497].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 897296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[498].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 897405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[499].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 897515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[500].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 897622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[501].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 897730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[502].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 897839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[503].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 897948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[504].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[505].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[506].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[507].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898384
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[508].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898493
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[509].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898602
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[510].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[511].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[512].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 898936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[513].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 899045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[514].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 899153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[515].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 899261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[516].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 899369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[517].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 899482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[518].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 899595
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[519].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 899704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[520].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 899813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[521].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 899922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[522].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 900032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[523].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 900142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[524].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 900249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[525].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 900359
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[526].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 900467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[527].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 900576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[528].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 900685
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[529].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 900794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[530].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 900902
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[531].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[532].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[533].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[534].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[535].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[536].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[537].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[538].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[539].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[540].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 901993
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[541].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 902099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[542].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 902206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[543].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 902313
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[544].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 902419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[545].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 902528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[546].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 902635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[547].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 902745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[548].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 902855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[549].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 902965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[550].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[551].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[552].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[553].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[554].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[555].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903613
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[556].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[557].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[558].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 903931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[559].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 904037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[560].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 904143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[561].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 904249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[562].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 904355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[563].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 904461
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[564].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 904567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[565].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 904673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[566].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 904779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[567].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 904886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[568].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 904993
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[569].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 905100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[570].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 905207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[571].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 905314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[572].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 905422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[573].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 905527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[574].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 905632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[575].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 905737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[576].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 905842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[577].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 905947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[578].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[579].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[580].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[581].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[582].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[583].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[584].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[585].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[586].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[587].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 906997
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[588].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 907102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[589].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 907207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[590].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 907312
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[591].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 907420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[592].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 907528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[593].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 907640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[594].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 907751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[595].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 907862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[596].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 907973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[597].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 908082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[598].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 908191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[599].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 908300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[600].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 908410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[601].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 908520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[602].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 908630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[603].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 908737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[604].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 908845
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[605].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 908953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[606].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 909061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[607].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 909169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[608].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 909277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[609].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 909385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[610].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 909493
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[611].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 909601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[612].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 909709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[613].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 909815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[614].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 909923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[615].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 910028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[616].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 910134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[617].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 910239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[618].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 910347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[619].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 910455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[620].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 910561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[621].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 910670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[622].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 910780
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[623].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 910887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[624].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 910994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[625].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 911101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[626].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 911208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[627].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 911313
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[628].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 911421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[629].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 911526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[630].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 911634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[631].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 911740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[632].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 911847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[633].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 911954
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[634].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 912063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[635].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 912171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[636].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 912278
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[637].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 912392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[638].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 912516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[639].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 912625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[640].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 912734
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[641].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 912843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[642].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 912952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[643].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 913061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[644].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 913170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[645].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 913279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[646].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 913388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[647].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 913497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[648].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 913606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[649].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 913717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[650].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 913826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[651].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 913933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[652].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 914039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[653].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 914148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[654].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 914257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[655].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 914366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[656].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 914474
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[657].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 914581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[658].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 914691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[659].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 914799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[660].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 914907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[661].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 915020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[662].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 915129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[663].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 915236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[664].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 915341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[665].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 915446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[666].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 915551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[667].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 915657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[668].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 915764
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[669].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 915869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[670].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 915974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[671].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 916080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[672].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 916187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[673].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 916295
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[674].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 916402
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[675].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 916511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[676].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 916619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[677].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 916729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[678].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 916838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[679].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 916945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[680].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 917052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[681].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 917163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[682].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 917273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[683].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 917383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[684].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 917500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[685].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 917607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[686].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 917714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[687].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 917822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[688].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 917928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[689].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[690].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[691].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918250
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[692].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[693].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[694].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918575
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[695].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[696].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[697].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 918902
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[698].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 919011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[699].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 919120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[700].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 919229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[701].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 919338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[702].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 919447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[703].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 919556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[704].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 919662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[705].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 919771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[706].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 919877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[707].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 919988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[708].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 920099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[709].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 920208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[710].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 920317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[711].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 920423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[712].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 920529
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[713].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 920636
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[714].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 920742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[715].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 920852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[716].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 920960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[717].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 921070
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[718].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 921178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[719].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 921286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[720].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 921395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[721].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 921506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[722].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 921617
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[723].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 921728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[724].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 921839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[725].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 921950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[726].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[727].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[728].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[729].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[730].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[731].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[732].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922712
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[733].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[734].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 922926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[735].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 923033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[736].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 923140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[737].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 923247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[738].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 923354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[739].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 923463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[740].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 923568
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[741].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 923673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[742].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 923781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[743].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 923888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[744].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 923995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[745].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 924100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[746].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 924207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[747].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 924314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[748].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 924421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[749].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 924528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[750].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 924635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[751].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 924742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[752].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 924847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[753].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 924955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[754].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 925071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[755].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 925176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[756].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 925282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[757].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 925393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[758].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 925501
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[759].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 925610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[760].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 925719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[761].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 925825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[762].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 925933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[763].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 926041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[764].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 926149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[765].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 926255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[766].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 926361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[767].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 926469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[768].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 926575
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[769].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 926682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[770].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 926789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[771].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 926896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[772].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 927003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[773].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 927107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[774].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 927215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[775].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 927323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[776].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 927431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[777].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 927542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[778].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 927651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[779].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 927759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[780].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 927867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[781].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 927975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[782].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 928083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[783].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 928191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[784].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 928302
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[785].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 928411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[786].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 928518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[787].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 928625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[788].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 928732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[789].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 928839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[790].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 928946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[791].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 929053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[792].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 929163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[793].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 929272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[794].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 929381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[795].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 929490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[796].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 929599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[797].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 929708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[798].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 929817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[799].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 929923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[800].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[801].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[802].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[803].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[804].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[805].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[806].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[807].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[808].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[809].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 930995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[810].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 931102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[811].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 931208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[812].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 931314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[813].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 931420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[814].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 931526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[815].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 931633
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[816].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 931741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[817].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 931851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[818].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 931958
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[819].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[820].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[821].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[822].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[823].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[824].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[825].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[826].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[827].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 932957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[828].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 933064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[829].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 933170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[830].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 933276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[831].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 933386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[832].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 933492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[833].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 933598
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[834].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 933704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[835].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 933810
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[836].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 933918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[837].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 934027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[838].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 934136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[839].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 934243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[840].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 934349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[841].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 934454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[842].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 934561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[843].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 934672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[844].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 934783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[845].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 934893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[846].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 935001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[847].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 935109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[848].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 935217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[849].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 935325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[850].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 935433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[851].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 935541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[852].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 935649
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[853].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 935757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[854].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 935865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[855].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 935973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[856].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 936081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[857].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 936189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[858].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 936294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[859].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 936401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[860].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 936509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[861].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 936618
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[862].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 936724
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[863].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 936830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[864].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 936938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[865].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[866].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[867].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[868].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937362
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[869].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[870].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[871].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[872].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[873].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 937895
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[874].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 938001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[875].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 938107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[876].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 938224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[877].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 938337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[878].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 938452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[879].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 938560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[880].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 938669
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[881].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 938775
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[882].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 938886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[883].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 938991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[884].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[885].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939204
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[886].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[887].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[888].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[889].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[890].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[891].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[892].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 939957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[893].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 940065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[894].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 940173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[895].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 940281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[896].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 940391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[897].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 940501
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[898].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 940611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[899].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 940719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[900].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 940827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[901].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 940934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[902].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 941041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[903].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 941145
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[904].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 941249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[905].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 941357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[906].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 941462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[907].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 941570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[908].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 941676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[909].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 941782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[910].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 941888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[911].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 941998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[912].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 942105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[913].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 942212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[914].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 942320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[915].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 942426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[916].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 942532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[917].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 942638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[918].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 942745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[919].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 942860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[920].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 942969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[921].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 943075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[922].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 943180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[923].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 943285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[924].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 943390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[925].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 943497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[926].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 943606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[927].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 943715
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[928].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 943825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[929].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 943931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[930].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 944037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[931].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 944143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[932].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 944249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[933].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 944355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[934].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 944462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[935].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 944569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[936].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 944676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[937].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 944787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[938].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 944893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[939].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[940].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[941].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[942].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[943].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[944].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[945].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[946].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[947].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[948].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 945999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[949].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 946119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[950].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 946226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[951].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 946333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[952].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 946443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[953].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 946549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[954].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 946658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[955].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 946767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[956].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 946875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[957].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 946983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[958].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 947091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[959].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 947199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[960].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 947307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[961].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 947415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[962].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 947523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[963].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 947631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[964].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 947739
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[965].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 947847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[966].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 947955
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[967].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 948064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[968].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 948171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[969].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 948277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[970].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 948386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[971].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 948495
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[972].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 948602
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[973].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 948709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[974].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 948817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[975].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 948926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[976].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[977].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[978].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[979].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[980].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[981].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[982].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949678
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[983].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[984].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[985].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 949996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[986].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 950105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[987].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 950211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[988].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 950323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[989].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 950428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[990].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 950533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[991].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 950640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[992].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 950747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[993].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 950855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[994].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 950963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[995].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[996].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[997].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[998].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[999].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1000].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1001].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951724
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1002].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951833
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1003].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 951942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1004].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 952051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1005].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 952160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1006].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 952269
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1007].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 952378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1008].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 952487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1009].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 952596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1010].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 952705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1011].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 952814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1012].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 952923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1013].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1014].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1015].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953250
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1016].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953359
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1017].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1018].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1019].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1020].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1021].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 953904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1022].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1023].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1024].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1025].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1026].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1027].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1028].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954689
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1029].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1030].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 954907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1031].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1032].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1033].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1034].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1035].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1036].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1037].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1038].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1039].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1040].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 955980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1041].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 956087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1042].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 956194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1043].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 956301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1044].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 956408
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1045].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 956515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1046].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 956623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1047].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 956728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1048].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 956835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1049].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 956948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1050].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 957057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1051].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 957166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1052].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 957275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1053].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 957382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1054].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 957492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1055].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 957599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1056].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 957708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1057].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 957817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1058].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 957926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1059].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 958035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1060].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 958144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1061].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 958253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1062].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 958361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1063].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 958469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1064].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 958577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1065].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 958684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1066].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 958790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1067].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 958900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1068].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1069].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1070].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1071].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1072].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1073].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1074].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1075].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1076].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1077].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 959967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1078].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 960078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1079].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 960185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1080].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 960292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1081].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 960397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1082].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 960507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1083].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 960613
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1084].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 960719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1085].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 960829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1086].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 960937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1087].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 961044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1088].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 961151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1089].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 961258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1090].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 961366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1091].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 961473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1092].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 961581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1093].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 961690
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1094].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 961800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1095].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 961906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1096].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 962017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1097].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 962128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1098].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 962234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1099].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 962342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1100].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 962456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1101].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 962570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1102].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 962677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1103].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 962786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1104].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 962896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1105].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1106].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1107].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1108].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1109].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1110].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1111].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1112].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1113].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963858
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1114].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 963965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1115].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 964072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1116].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 964179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1117].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 964288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1118].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 964394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1119].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 964500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1120].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 964612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1121].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 964723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1122].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 964838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1123].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 964946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1124].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1125].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965158
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1126].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1127].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1128].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965476
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1129].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1130].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965688
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1131].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1132].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 965900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1133].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1134].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1135].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1136].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1137].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1138].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1139].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1140].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1141].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1142].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 966966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1143].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1144].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1145].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1146].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1147].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1148].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967616
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1149].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967724
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1150].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1151].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 967936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1152].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1153].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968158
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1154].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1155].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1156].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1157].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1158].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1159].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1160].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 968907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1161].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1162].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1163].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1164].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1165].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1166].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1167].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1168].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969765
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1169].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1170].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 969985
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1171].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 970096
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1172].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 970206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1173].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 970316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1174].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 970422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1175].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 970528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1176].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 970636
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1177].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 970744
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1178].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 970851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1179].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 970958
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1180].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1181].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1182].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1183].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1184].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1185].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1186].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971711
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1187].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1188].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 971927
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1189].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1190].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1191].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1192].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1193].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1194].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1195].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1196].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1197].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 972903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1198].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 973010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1199].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 973120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1200].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 973227
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1201].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 973332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1202].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 973437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1203].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 973545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1204].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 973653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1205].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 973758
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1206].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 973863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1207].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 973968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1208].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 974076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1209].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 974185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1210].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 974294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1211].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 974403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1212].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 974512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1213].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 974621
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1214].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 974730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1215].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 974839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1216].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 974948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1217].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1218].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1219].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1220].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1221].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1222].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1223].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1224].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975824
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1225].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 975932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1226].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 976040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1227].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 976148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1228].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 976256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1229].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 976364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1230].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 976472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1231].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 976580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1232].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 976688
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1233].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 976796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1234].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 976904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1235].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1236].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1237].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1238].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1239].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1240].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1241].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1242].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1243].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1244].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 977981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1245].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 978088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1246].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 978195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1247].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 978302
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1248].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 978409
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1249].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 978517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1250].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 978625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1251].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 978731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1252].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 978839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1253].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 978946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1254].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1255].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1256].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979268
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1257].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1258].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1259].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979589
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1260].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1261].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1262].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 979912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1263].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1264].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1265].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1266].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1267].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1268].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1269].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1270].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1271].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 980900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1272].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 981005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1273].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 981114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1274].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 981222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1275].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 981329
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1276].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 981437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1277].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 981545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1278].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 981653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1279].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 981761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1280].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 981871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1281].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 981978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1282].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1283].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1284].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1285].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1286].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1287].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1288].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1289].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1290].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 982948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1291].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 983058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1292].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 983168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1293].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 983278
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1294].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 983388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1295].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 983498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1296].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 983605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1297].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 983714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1298].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 983822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1299].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 983928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1300].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 984034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1301].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 984140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1302].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 984246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1303].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 984352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1304].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 984458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1305].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 984564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1306].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 984670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1307].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 984776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1308].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 984882
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1309].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 984991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1310].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 985100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1311].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 985209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1312].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 985319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1313].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 985427
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1314].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 985535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1315].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 985643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1316].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 985751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1317].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 985859
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1318].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 985968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1319].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 986077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1320].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 986187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1321].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 986292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1322].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 986397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1323].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 986510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1324].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 986623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1325].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 986733
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1326].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 986839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1327].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 986948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1328].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 987058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1329].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 987166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1330].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 987274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1331].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 987383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1332].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 987488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1333].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 987595
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1334].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 987702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1335].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 987809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1336].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 987914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1337].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 988019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1338].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 988128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1339].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 988233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1340].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 988344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1341].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 988451
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1342].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 988570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1343].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 988686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1344].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 988794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1345].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 988902
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1346].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 989014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1347].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 989120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1348].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 989231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1349].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 989343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1350].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 989452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1351].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 989560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1352].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 989668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1353].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 989776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1354].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 989884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1355].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 989992
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1356].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1357].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1358].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990313
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1359].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1360].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1361].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1362].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1363].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1364].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 990963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1365].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1366].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1367].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1368].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1369].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1370].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1371].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1372].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1373].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 991936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1374].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 992045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1375].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 992155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1376].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 992265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1377].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 992370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1378].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 992480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1379].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 992591
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1380].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 992702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1381].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 992808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1382].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 992914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1383].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1384].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1385].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1386].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1387].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1388].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1389].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1390].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1391].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993882
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1392].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 993995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1393].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1394].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1395].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1396].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1397].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1398].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1399].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1400].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1401].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 994958
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1402].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 995064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1403].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 995169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1404].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 995274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1405].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 995379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1406].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 995484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1407].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 995593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1408].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 995699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1409].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 995807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1410].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 995916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1411].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 996023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1412].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 996130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1413].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 996244
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1414].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 996354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1415].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 996461
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1416].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 996570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1417].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 996676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1418].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 996782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1419].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 996887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1420].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 996995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1421].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1422].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1423].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1424].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997427
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1425].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1426].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1427].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1428].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997859
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1429].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 997967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1430].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1431].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1432].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1433].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1434].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1435].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1436].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1437].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1438].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 998939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1439].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 999047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1440].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 999155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1441].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 999263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1442].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 999371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1443].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 999479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1444].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 999586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1445].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 999697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1446].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 999811
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1447].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 999918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1448].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1000025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1449].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1000132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1450].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1000239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1451].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1000346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1452].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1000453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1453].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1000560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1454].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1000667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1455].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1000771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1456].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1000878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1457].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1000989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1458].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1001100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1459].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1001210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1460].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1001320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1461].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1001430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1462].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1001540
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1463].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1001650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1464].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1001760
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1465].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1001870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1466].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1001980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1467].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1002090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1468].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1002200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1469].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1002310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1470].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1002420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1471].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1002530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1472].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1002640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1473].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1002750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1474].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1002860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1475].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1002970
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1476].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1003080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1477].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1003190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1478].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1003300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1479].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1003410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1480].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1003520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1481].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1003630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1482].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1003740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1483].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1003850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1484].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1003960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1485].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1004076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1486].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1004192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1487].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1004297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1488].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1004405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1489].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1004514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1490].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1004622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1491].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1004729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1492].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1004836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1493].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1004946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1494].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1005053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1495].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1005162
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1496].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1005272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1497].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1005383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1498].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1005491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1499].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1005599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1500].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1005707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1501].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1005815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1502].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1005923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1503].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1006031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1504].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1006139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1505].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1006247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1506].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1006355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1507].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1006463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1508].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1006571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1509].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1006679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1510].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1006788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1511].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1006897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1512].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1007012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1513].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1007118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1514].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1007224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1515].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1007330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1516].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1007436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1517].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1007542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1518].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1007648
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1519].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1007758
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1520].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1007863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1521].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1007974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1522].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1008087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1523].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1008194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1524].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1008301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1525].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1008408
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1526].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1008516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1527].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1008626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1528].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1008734
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1529].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1008843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1530].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1008951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1531].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1009059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1532].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1009169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1533].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1009274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1534].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1009379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1535].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1009488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1536].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1009595
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1537].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1009701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1538].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1009809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1539].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1009913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1540].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1010022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1541].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1010130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1542].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1010237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1543].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1010343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1544].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1010450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1545].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1010566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1546].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1010674
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1547].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1010782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1548].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1010889
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1549].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1010998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1550].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1011106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1551].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1011211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1552].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1011316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1553].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1011421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1554].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1011526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1555].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1011631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1556].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1011738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1557].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1011845
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1558].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1011950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1559].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1012055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1560].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1012163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1561].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1012281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1562].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1012390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1563].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1012499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1564].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1012609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1565].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1012716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1566].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1012821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1567].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1012929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1568].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1013036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1569].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1013141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1570].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1013246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1571].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1013361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1572].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1013473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1573].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1013586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1574].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1013697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1575].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1013805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1576].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1013918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1577].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1578].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1579].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1580].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1581].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1582].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1583].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1584].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1585].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1586].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1014992
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1587].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1015100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1588].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1015208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1589].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1015316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1590].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1015426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1591].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1015532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1592].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1015637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1593].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1015742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1594].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1015847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1595].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1015952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1596].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1016057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1597].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1016162
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1598].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1016267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1599].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1016372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1600].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1016477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1601].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1016591
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1602].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1016703
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1603].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1016812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1604].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1016918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1605].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1606].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1607].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1608].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1609].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1610].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1611].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1612].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1613].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1017897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1614].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1615].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1616].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1617].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1618].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1619].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1620].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1621].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1622].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018881
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1623].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1018991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1624].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1625].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1626].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1627].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1628].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1629].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019641
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1630].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019746
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1631].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1632].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1019956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1633].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1020061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1634].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1020166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1635].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1020271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1636].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1020376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1637].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1020481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1638].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1020586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1639].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1020691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1640].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1020796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1641].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1020915
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1642].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1643].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1644].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1645].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1646].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1647].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1648].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1649].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1650].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1651].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1021998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1652].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1022108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1653].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1022218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1654].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1022328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1655].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1022435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1656].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1022540
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1657].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1022645
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1658].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1022754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1659].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1022861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1660].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1022968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1661].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1023076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1662].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1023184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1663].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1023290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1664].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1023398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1665].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1023504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1666].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1023615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1667].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1023726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1668].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1023838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1669].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1023945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1670].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1671].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1672].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1673].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1674].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1675].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1676].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1677].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1678].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1024922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1679].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1680].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1681].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1682].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1683].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1684].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1685].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025685
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1686].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1687].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1025903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1688].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1026012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1689].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1026121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1690].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1026230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1691].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1026339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1692].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1026443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1693].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1026549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1694].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1026661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1695].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1026769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1696].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1026873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1697].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1026977
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1698].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1027081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1699].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1027185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1700].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1027289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1701].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1027393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1702].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1027497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1703].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1027601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1704].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1027705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1705].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1027809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1706].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1027913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1707].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1708].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1709].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1710].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1711].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1712].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028555
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1713].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1714].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1715].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1716].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1028979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1717].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1029087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1718].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1029192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1719].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1029298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1720].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1029404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1721].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1029510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1722].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1029616
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1723].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1029722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1724].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1029828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1725].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1029934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1726].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1030050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1727].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1030160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1728].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1030277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1729].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1030381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1730].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1030489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1731].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1030597
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1732].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1030705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1733].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1030813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1734].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1030921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1735].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1031028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1736].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1031138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1737].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1031248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1738].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1031356
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1739].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1031464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1740].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1031572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1741].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1031680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1742].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1031788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1743].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1031896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1744].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1032004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1745].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1032112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1746].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1032220
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1747].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1032328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1748].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1032436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1749].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1032544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1750].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1032652
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1751].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1032760
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1752].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1032868
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1753].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1032976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1754].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1033084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1755].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1033192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1756].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1033300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1757].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1033408
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1758].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1033516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1759].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1033624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1760].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1033732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1761].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1033840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1762].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1033945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1763].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1764].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1765].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1766].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1767].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1768].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1769].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1770].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1771].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1034924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1772].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1035035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1773].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1035146
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1774].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1035257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1775].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1035368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1776].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1035474
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1777].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1035580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1778].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1035686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1779].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1035792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1780].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1035898
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1781].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1782].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1783].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1784].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1785].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1786].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1787].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1788].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1789].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1790].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1036959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1791].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1037070
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1792].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1037182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1793].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1037289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1794].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1037397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1795].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1037504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1796].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1037611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1797].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1037716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1798].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1037821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1799].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1037928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1800].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1038036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1801].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1038144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1802].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1038252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1803].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1038360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1804].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1038466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1805].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1038572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1806].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1038677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1807].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1038785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1808].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1038890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1809].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1810].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1811].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1812].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1813].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1814].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1815].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039654
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1816].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1817].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1818].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1039969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1819].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1820].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1821].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1822].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1823].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040501
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1824].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1825].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1826].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1827].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1040925
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1828].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1829].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1830].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1831].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1832].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1833].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1834].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1835].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1836].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1041895
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1837].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1042003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1838].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1042111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1839].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1042219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1840].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1042327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1841].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1042435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1842].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1042543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1843].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1042651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1844].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1042759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1845].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1042867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1846].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1042975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1847].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1848].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1849].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1850].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1851].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1852].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1853].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043733
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1854].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1855].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1043948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1856].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1044055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1857].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1044163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1858].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1044272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1859].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1044388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1860].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1044509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1861].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1044617
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1862].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1044724
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1863].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1044833
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1864].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1044943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1865].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1045050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1866].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1045159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1867].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1045267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1868].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1045375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1869].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1045484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1870].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1045591
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1871].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1045697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1872].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1045807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1873].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1045914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1874].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1046021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1875].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1046128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1876].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1046235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1877].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1046342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1878].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1046449
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1879].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1046556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1880].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1046663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1881].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1046770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1882].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1046877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1883].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1046984
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1884].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1047091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1885].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1047198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1886].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1047305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1887].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1047412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1888].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1047519
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1889].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1047626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1890].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1047735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1891].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1047844
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1892].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1047954
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1893].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1048064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1894].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1048173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1895].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1048282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1896].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1048391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1897].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1048500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1898].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1048609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1899].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1048718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1900].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1048827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1901].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1048936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1902].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1903].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1904].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1905].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1906].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1907].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1908].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1909].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1910].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1049907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1911].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1912].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1913].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1914].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1915].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1916].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1917].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1918].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1919].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1920].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1050987
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1921].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1922].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1923].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1924].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1925].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1926].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051641
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1927].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1928].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1929].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1051964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1930].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1052071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1931].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1052178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1932].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1052288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1933].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1052398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1934].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1052507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1935].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1052617
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1936].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1052727
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1937].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1052836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1938].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1052946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1939].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1940].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1941].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1942].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1943].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1944].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053598
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1945].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1946].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053816
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1947].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1053923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1948].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1949].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1950].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1951].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1952].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1953].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1954].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054678
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1955].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1956].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1054894
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1957].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1958].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1959].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1960].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1961].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055438
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1962].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1963].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1964].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055758
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1965].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1966].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1055982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1967].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1968].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1969].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1970].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1971].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1972].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1973].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1974].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1975].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1056947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1976].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1057054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1977].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1057161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1978].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1057271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1979].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1057379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1980].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1057489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1981].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1057599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1982].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1057706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1983].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1057813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1984].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1057920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1985].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1986].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1987].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1988].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1989].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1990].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1991].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1992].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1993].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058891
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1994].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1058996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1995].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1059105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1996].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1059211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1997].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1059317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1998].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1059423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[1999].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1059534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2000].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1059644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2001].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1059754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2002].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1059864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2003].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1059974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2004].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2005].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2006].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2007].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2008].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060519
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2009].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2010].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2011].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2012].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1060950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2013].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1061057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2014].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1061164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2015].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1061270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2016].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1061376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2017].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1061486
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2018].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1061592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2019].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1061700
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2020].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1061808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2021].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1061916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2022].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1062024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2023].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1062130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2024].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1062239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2025].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1062349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2026].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1062459
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2027].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1062571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2028].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1062683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2029].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1062792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2030].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1062901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2031].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1063010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2032].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1063119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2033].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1063228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2034].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1063337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2035].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1063444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2036].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1063549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2037].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1063655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2038].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1063762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2039].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1063869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2040].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1063978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2041].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1064087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2042].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1064192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2043].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1064299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2044].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1064410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2045].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1064517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2046].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1064624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2047].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1064731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2048].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1064838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2049].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1064945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2050].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2051].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2052].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2053].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2054].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2055].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2056].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2057].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065801
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2058].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1065908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2059].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1066015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2060].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1066122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2061].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1066229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2062].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1066338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2063].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1066447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2064].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1066556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2065].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1066666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2066].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1066777
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2067].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1066888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2068].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1066999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2069].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2070].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2071].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2072].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2073].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067554
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2074].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2075].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2076].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2077].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2078].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1068109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2079].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1068220
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2080].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1068331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2081].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1068442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2082].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1068553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2083].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1068664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2084].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1068776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2085].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1068884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2086].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1068993
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2087].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2088].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2089].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2090].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2091].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2092].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2093].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069739
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2094].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2095].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1069953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2096].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1070060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2097].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1070167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2098].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1070274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2099].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1070381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2100].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1070488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2101].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1070595
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2102].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1070702
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2103].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1070809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2104].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1070917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2105].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2106].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2107].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2108].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2109].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2110].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2111].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071669
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2112].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2113].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2114].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1071990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2115].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1072099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2116].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1072209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2117].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1072315
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2118].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1072426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2119].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1072536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2120].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1072643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2121].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1072750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2122].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1072857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2123].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1072967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2124].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1073076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2125].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1073185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2126].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1073295
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2127].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1073404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2128].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1073516
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2129].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1073628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2130].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1073736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2131].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1073844
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2132].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1073949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2133].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1074055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2134].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1074165
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2135].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1074270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2136].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1074380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2137].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1074485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2138].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1074592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2139].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1074699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2140].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1074812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2141].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1074920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2142].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1075027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2143].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1075135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2144].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1075250
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2145].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1075357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2146].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1075464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2147].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1075571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2148].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1075678
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2149].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1075785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2150].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1075892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2151].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1076000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2152].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1076105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2153].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1076212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2154].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1076319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2155].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1076430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2156].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1076542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2157].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1076652
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2158].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1076761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2159].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1076872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2160].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1076983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2161].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1077092
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2162].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1077200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2163].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1077309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2164].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1077417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2165].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1077537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2166].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1077644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2167].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1077751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2168].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1077858
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2169].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1077965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2170].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2171].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2172].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2173].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2174].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2175].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2176].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2177].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2178].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1078950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2179].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1079057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2180].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1079165
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2181].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1079274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2182].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1079383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2183].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1079492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2184].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1079601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2185].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1079707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2186].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1079813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2187].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1079919
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2188].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2189].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2190].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2191].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080350
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2192].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2193].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2194].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2195].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2196].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1080904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2197].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1081016
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2198].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1081128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2199].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1081245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2200].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1081360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2201].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1081475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2202].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1081592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2203].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1081699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2204].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1081813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2205].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1081922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2206].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2207].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2208].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2209].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2210].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2211].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082565
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2212].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2213].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2214].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2215].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1082992
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2216].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1083102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2217].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1083209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2218].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1083316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2219].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1083423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2220].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1083530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2221].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1083635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2222].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1083746
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2223].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1083851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2224].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1083956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2225].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2226].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2227].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2228].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2229].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2230].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2231].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2232].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2233].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1084934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2234].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2235].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2236].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2237].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2238].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2239].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2240].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2241].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2242].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1085901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2243].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1086011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2244].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1086118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2245].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1086225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2246].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1086332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2247].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1086439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2248].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1086546
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2249].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1086653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2250].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1086760
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2251].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1086867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2252].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1086978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2253].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2254].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2255].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2256].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087409
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2257].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2258].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2259].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2260].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2261].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1087944
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2262].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1088052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2263].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1088160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2264].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1088268
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2265].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1088375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2266].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1088482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2267].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1088588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2268].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1088694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2269].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1088799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2270].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1088906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2271].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2272].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2273].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089227
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2274].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2275].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089441
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2276].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2277].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2278].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2279].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089876
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2280].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1089986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2281].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1090094
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2282].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1090199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2283].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1090304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2284].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1090411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2285].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1090518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2286].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1090625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2287].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1090731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2288].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1090839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2289].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1090969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2290].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091077
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2291].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2292].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2293].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2294].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2295].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2296].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091733
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2297].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2298].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1091948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2299].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1092055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2300].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1092160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2301].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1092265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2302].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1092370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2303].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1092476
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2304].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1092583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2305].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1092690
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2306].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1092796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2307].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1092907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2308].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1093015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2309].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1093124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2310].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1093232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2311].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1093341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2312].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1093450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2313].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1093557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2314].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1093664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2315].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1093771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2316].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1093879
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2317].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1093985
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2318].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1094091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2319].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1094203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2320].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1094309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2321].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1094417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2322].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1094525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2323].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1094634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2324].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1094747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2325].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1094854
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2326].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1094964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2327].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1095074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2328].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1095185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2329].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1095296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2330].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1095406
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2331].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1095515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2332].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1095622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2333].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1095728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2334].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1095836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2335].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1095944
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2336].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1096055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2337].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1096161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2338].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1096267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2339].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1096373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2340].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1096479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2341].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1096585
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2342].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1096691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2343].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1096797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2344].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1096903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2345].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1097009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2346].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1097115
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2347].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1097224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2348].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1097331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2349].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1097449
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2350].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1097559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2351].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1097666
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2352].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1097773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2353].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1097880
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2354].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1097993
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2355].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1098102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2356].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1098211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2357].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1098320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2358].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1098429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2359].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1098535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2360].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1098644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2361].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1098752
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2362].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1098860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2363].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1098968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2364].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1099076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2365].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1099183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2366].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1099290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2367].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1099397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2368].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1099504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2369].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1099611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2370].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1099716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2371].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1099821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2372].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1099926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2373].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1100031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2374].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1100136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2375].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1100241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2376].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1100346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2377].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1100451
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2378].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1100556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2379].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1100661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2380].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1100766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2381].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1100872
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2382].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1100977
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2383].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1101086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2384].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1101196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2385].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1101308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2386].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1101415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2387].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1101520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2388].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1101630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2389].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1101743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2390].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1101849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2391].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1101956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2392].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2393].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2394].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2395].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2396].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2397].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2398].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102715
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2399].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102824
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2400].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1102935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2401].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103046
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2402].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2403].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2404].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103377
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2405].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2406].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2407].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2408].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2409].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103902
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2410].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2411].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2412].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2413].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2414].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104427
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2415].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2416].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2417].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2418].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2419].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1104960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2420].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1105069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2421].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1105174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2422].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1105279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2423].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1105384
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2424].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1105500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2425].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1105608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2426].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1105716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2427].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1105823
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2428].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1105941
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2429].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2430].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2431].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2432].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2433].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106494
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2434].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2435].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2436].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2437].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1106928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2438].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2439].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2440].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2441].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2442].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2443].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2444].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2445].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2446].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1107898
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2447].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1108007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2448].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1108120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2449].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1108228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2450].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1108334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2451].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1108448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2452].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1108562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2453].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1108678
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2454].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1108793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2455].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1108904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2456].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1109012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2457].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1109119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2458].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1109227
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2459].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1109335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2460].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1109443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2461].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1109551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2462].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1109659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2463].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1109767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2464].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1109875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2465].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1109986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2466].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1110093
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2467].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1110200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2468].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1110307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2469].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1110414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2470].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1110521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2471].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1110628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2472].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1110735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2473].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1110842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2474].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1110949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2475].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1111054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2476].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1111167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2477].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1111280
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2478].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1111387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2479].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1111495
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2480].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1111603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2481].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1111709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2482].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1111816
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2483].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1111931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2484].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1112037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2485].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1112145
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2486].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1112251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2487].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1112358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2488].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1112465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2489].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1112573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2490].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1112682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2491].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1112791
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2492].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1112900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2493].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1113009
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2494].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1113118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2495].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1113227
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2496].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1113336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2497].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1113445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2498].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1113552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2499].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1113659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2500].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1113767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2501].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1113880
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2502].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1113988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2503].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114096
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2504].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2505].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2506].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2507].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2508].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2509].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2510].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2511].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1114960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2512].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1115067
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2513].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1115175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2514].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1115280
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2515].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1115391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2516].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1115500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2517].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1115609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2518].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1115718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2519].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1115827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2520].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1115932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2521].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2522].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2523].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2524].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2525].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2526].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2527].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116685
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2528].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2529].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1116903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2530].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1117012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2531].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1117121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2532].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1117230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2533].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1117339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2534].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1117448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2535].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1117557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2536].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1117673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2537].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1117779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2538].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1117886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2539].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1117995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2540].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1118106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2541].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1118217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2542].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1118328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2543].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1118439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2544].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1118546
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2545].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1118653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2546].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1118761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2547].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1118871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2548].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1118977
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2549].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1119083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2550].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1119191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2551].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1119306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2552].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1119414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2553].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1119522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2554].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1119632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2555].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1119742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2556].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1119852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2557].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1119960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2558].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1120065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2559].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1120170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2560].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1120275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2561].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1120387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2562].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1120498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2563].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1120609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2564].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1120718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2565].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1120829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2566].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1120940
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2567].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1121051
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2568].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1121160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2569].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1121269
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2570].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1121381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2571].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1121488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2572].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1121596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2573].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1121705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2574].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1121813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2575].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1121919
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2576].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2577].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2578].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2579].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2580].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2581].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2582].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2583].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2584].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2585].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1122998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2586].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1123104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2587].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1123212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2588].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1123317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2589].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1123422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2590].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1123527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2591].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1123632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2592].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1123740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2593].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1123848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2594].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1123956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2595].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1124064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2596].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1124175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2597].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1124286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2598].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1124394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2599].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1124508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2600].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1124615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2601].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1124722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2602].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1124826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2603].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1124937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2604].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1125047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2605].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1125155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2606].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1125264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2607].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1125371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2608].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1125477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2609].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1125590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2610].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1125698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2611].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1125805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2612].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1125912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2613].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1126019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2614].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1126126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2615].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1126233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2616].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1126343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2617].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1126450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2618].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1126558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2619].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1126672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2620].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1126783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2621].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1126898
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2622].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127008
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2623].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2624].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2625].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127345
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2626].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2627].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2628].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2629].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2630].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1127893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2631].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1128002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2632].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1128114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2633].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1128230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2634].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1128340
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2635].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1128451
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2636].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1128562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2637].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1128675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2638].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1128784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2639].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1128898
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2640].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1129006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2641].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1129114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2642].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1129223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2643].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1129332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2644].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1129441
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2645].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1129549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2646].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1129657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2647].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1129771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2648].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1129883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2649].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1129994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2650].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2651].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2652].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2653].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130438
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2654].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2655].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2656].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130764
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2657].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2658].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1130975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2659].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1131084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2660].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1131191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2661].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1131303
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2662].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1131414
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2663].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1131521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2664].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1131631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2665].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1131743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2666].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1131852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2667].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1131961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2668].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1132070
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2669].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1132181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2670].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1132288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2671].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1132397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2672].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1132506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2673].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1132612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2674].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1132718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2675].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1132824
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2676].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1132930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2677].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1133036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2678].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1133142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2679].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1133248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2680].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1133354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2681].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1133460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2682].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1133566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2683].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1133672
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2684].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1133785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2685].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1133893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2686].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1134000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2687].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1134107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2688].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1134217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2689].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1134326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2690].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1134435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2691].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1134544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2692].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1134653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2693].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1134762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2694].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1134869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2695].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1134976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2696].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1135087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2697].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1135196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2698].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1135303
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2699].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1135410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2700].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1135517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2701].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1135624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2702].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1135731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2703].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1135843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2704].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1135951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2705].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1136059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2706].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1136167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2707].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1136273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2708].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1136380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2709].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1136488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2710].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1136596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2711].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1136706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2712].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1136813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2713].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1136920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2714].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1137027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2715].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1137134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2716].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1137241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2717].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1137348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2718].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1137455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2719].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1137562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2720].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1137669
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2721].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1137780
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2722].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1137890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2723].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1137999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2724].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1138108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2725].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1138217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2726].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1138326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2727].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1138435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2728].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1138543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2729].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1138651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2730].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1138759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2731].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1138867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2732].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1138978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2733].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1139087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2734].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1139194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2735].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1139301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2736].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1139408
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2737].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1139519
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2738].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1139627
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2739].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1139735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2740].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1139841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2741].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1139947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2742].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2743].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140162
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2744].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140268
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2745].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2746].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2747].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2748].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2749].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2750].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1140910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2751].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1141016
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2752].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1141122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2753].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1141228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2754].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1141338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2755].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1141445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2756].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1141553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2757].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1141660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2758].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1141769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2759].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1141878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2760].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1141987
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2761].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142096
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2762].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2763].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142313
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2764].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2765].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2766].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2767].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2768].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142880
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2769].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1142988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2770].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1143096
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2771].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1143202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2772].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1143310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2773].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1143423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2774].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1143535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2775].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1143647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2776].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1143759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2777].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1143869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2778].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1143979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2779].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1144089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2780].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1144199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2781].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1144309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2782].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1144419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2783].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1144531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2784].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1144644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2785].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1144755
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2786].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1144865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2787].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1144974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2788].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1145095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2789].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1145205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2790].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1145316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2791].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1145427
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2792].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1145538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2793].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1145651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2794].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1145761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2795].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1145871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2796].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1145988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2797].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1146098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2798].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1146209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2799].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1146318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2800].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1146429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2801].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1146541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2802].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1146652
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2803].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1146761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2804].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1146870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2805].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1146981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2806].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1147089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2807].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1147196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2808].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1147304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2809].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1147412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2810].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1147518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2811].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1147624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2812].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1147730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2813].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1147837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2814].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1147943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2815].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1148059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2816].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1148174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2817].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1148282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2818].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1148389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2819].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1148496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2820].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1148605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2821].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1148714
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2822].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1148823
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2823].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1148934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2824].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1149043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2825].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1149151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2826].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1149259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2827].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1149367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2828].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1149475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2829].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1149583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2830].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1149691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2831].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1149799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2832].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1149910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2833].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2834].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2835].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2836].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2837].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2838].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150554
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2839].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2840].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2841].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2842].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1150986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2843].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2844].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2845].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2846].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2847].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2848].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2849].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2850].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2851].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1151971
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2852].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1152080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2853].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1152186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2854].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1152294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2855].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1152401
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2856].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1152508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2857].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1152615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2858].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1152722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2859].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1152829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2860].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1152936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2861].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1153043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2862].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1153150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2863].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1153257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2864].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1153367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2865].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1153473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2866].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1153579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2867].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1153691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2868].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1153798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2869].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1153905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2870].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1154012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2871].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1154119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2872].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1154226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2873].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1154335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2874].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1154441
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2875].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1154555
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2876].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1154667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2877].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1154778
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2878].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1154884
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2879].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1154992
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2880].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1155104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2881].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1155211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2882].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1155318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2883].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1155429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2884].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1155539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2885].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1155652
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2886].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1155763
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2887].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1155868
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2888].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1155974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2889].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2890].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2891].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2892].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156403
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2893].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156512
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2894].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2895].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2896].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156833
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2897].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1156940
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2898].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1157047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2899].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1157154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2900].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1157261
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2901].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1157370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2902].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1157479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2903].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1157586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2904].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1157694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2905].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1157801
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2906].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1157908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2907].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1158019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2908].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1158127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2909].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1158235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2910].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1158341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2911].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1158447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2912].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1158553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2913].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1158659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2914].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1158765
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2915].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1158871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2916].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1158978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2917].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2918].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159192
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2919].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2920].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2921].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2922].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2923].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2924].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159845
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2925].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1159953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2926].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1160060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2927].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1160166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2928].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1160272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2929].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1160379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2930].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1160490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2931].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1160597
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2932].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1160704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2933].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1160815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2934].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1160921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2935].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161030
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2936].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2937].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161244
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2938].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2939].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2940].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2941].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2942].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161777
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2943].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2944].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1161993
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2945].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1162099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2946].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1162206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2947].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1162315
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2948].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1162422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2949].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1162528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2950].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1162635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2951].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1162748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2952].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1162857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2953].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1162964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2954].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2955].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2956].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2957].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2958].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2959].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163614
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2960].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2961].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2962].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1163936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2963].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1164042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2964].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1164152
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2965].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1164266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2966].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1164375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2967].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1164482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2968].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1164589
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2969].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1164695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2970].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1164802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2971].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1164911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2972].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1165018
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2973].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1165125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2974].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1165236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2975].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1165347
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2976].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1165455
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2977].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1165562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2978].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1165673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2979].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1165779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2980].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1165885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2981].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1165993
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2982].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1166099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2983].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1166206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2984].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1166311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2985].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1166419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2986].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1166526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2987].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1166635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2988].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1166742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2989].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1166848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2990].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1166954
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2991].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1167060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2992].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1167166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2993].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1167272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2994].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1167378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2995].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1167484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2996].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1167590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2997].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1167696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2998].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1167802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[2999].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1167908
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3000].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3001].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3002].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3003].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3004].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168438
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3005].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3006].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3007].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3008].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3009].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1168970
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3010].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1169076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3011].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1169181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3012].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1169287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3013].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1169394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3014].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1169501
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3015].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1169611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3016].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1169731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3017].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1169840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3018].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1169947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3019].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1170054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3020].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1170161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3021].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1170271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3022].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1170381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3023].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1170491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3024].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1170601
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3025].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1170710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3026].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1170820
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3027].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1170926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3028].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1171038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3029].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1171148
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3030].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1171258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3031].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1171366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3032].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1171474
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3033].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1171584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3034].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1171694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3035].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1171805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3036].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1171912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3037].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3038].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3039].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3040].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172343
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3041].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3042].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172554
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3043].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3044].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3045].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1172892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3046].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1173000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3047].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1173107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3048].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1173214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3049].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1173322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3050].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1173432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3051].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1173550
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3052].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1173657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3053].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1173765
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3054].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1173875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3055].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1173980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3056].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1174092
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3057].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1174200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3058].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1174306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3059].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1174413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3060].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1174520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3061].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1174627
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3062].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1174739
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3063].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1174847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3064].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1174954
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3065].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1175062
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3066].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1175168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3067].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1175277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3068].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1175384
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3069].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1175491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3070].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1175600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3071].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1175709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3072].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1175817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3073].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1175922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3074].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3075].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3076].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3077].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3078].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3079].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3080].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3081].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3082].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176881
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3083].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1176988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3084].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1177095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3085].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1177202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3086].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1177309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3087].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1177416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3088].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1177523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3089].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1177630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3090].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1177738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3091].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1177846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3092].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1177952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3093].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1178059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3094].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1178168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3095].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1178277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3096].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1178388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3097].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1178499
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3098].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1178610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3099].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1178721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3100].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1178832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3101].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1178943
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3102].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3103].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179165
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3104].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3105].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3106].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3107].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3108].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3109].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3110].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3111].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1180053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3112].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1180164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3113].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1180275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3114].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1180386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3115].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1180497
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3116].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1180608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3117].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1180719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3118].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1180830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3119].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1180941
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3120].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1181052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3121].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1181163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3122].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1181274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3123].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1181385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3124].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1181496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3125].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1181607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3126].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1181718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3127].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1181826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3128].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1181933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3129].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3130].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3131].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3132].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3133].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3134].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3135].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3136].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3137].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1182904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3138].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3139].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3140].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3141].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3142].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3143].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183540
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3144].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3145].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183752
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3146].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183858
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3147].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1183964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3148].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1184070
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3149].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1184176
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3150].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1184282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3151].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1184400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3152].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1184508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3153].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1184613
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3154].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1184719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3155].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1184827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3156].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1184935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3157].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1185043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3158].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1185151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3159].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1185259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3160].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1185367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3161].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1185475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3162].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1185583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3163].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1185688
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3164].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1185794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3165].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1185900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3166].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1186017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3167].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1186130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3168].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1186245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3169].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1186357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3170].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1186465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3171].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1186578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3172].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1186691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3173].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1186798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3174].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1186905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3175].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1187013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3176].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1187121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3177].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1187229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3178].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1187339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3179].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1187447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3180].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1187555
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3181].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1187663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3182].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1187771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3183].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1187877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3184].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1187983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3185].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1188089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3186].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1188195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3187].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1188301
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3188].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1188412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3189].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1188522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3190].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1188632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3191].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1188740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3192].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1188848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3193].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1188956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3194].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1189063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3195].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1189171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3196].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1189279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3197].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1189388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3198].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1189498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3199].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1189605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3200].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1189712
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3201].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1189819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3202].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1189926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3203].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1190033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3204].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1190143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3205].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1190253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3206].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1190358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3207].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1190466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3208].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1190575
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3209].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1190684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3210].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1190797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3211].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1190917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3212].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1191028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3213].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1191139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3214].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1191250
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3215].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1191357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3216].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1191464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3217].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1191571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3218].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1191678
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3219].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1191796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3220].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1191904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3221].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1192012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3222].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1192120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3223].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1192228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3224].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1192333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3225].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1192443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3226].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1192553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3227].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1192663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3228].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1192774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3229].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1192881
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3230].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1192989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3231].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1193097
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3232].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1193202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3233].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1193307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3234].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1193412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3235].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1193518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3236].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1193623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3237].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1193728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3238].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1193833
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3239].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1193938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3240].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1194047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3241].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1194156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3242].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1194265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3243].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1194374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3244].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1194480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3245].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1194588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3246].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1194697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3247].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1194807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3248].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1194917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3249].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1195023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3250].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1195129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3251].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1195235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3252].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1195341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3253].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1195447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3254].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1195572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3255].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1195679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3256].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1195786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3257].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1195893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3258].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3259].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3260].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3261].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3262].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3263].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3264].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196649
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3265].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196756
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3266].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3267].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1196971
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3268].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1197081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3269].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1197189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3270].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1197296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3271].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1197404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3272].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1197508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3273].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1197614
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3274].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1197720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3275].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1197828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3276].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1197934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3277].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3278].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3279].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198267
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3280].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3281].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3282].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3283].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198689
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3284].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3285].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1198899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3286].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1199004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3287].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1199110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3288].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1199215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3289].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1199334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3290].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1199439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3291].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1199544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3292].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1199651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3293].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1199758
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://www.census.gov/geo/reference/'"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet.expansion.contains[3294].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1199819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-fips-county-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-flag-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-flag-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-flag-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-flag-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-flag-code-for-R4B",
        "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_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-flag-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-flag-priority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-flag-priority-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-flag-priority-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-fm-conditions-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-fm-conditions-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-fm-conditions-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-fm-itemtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-fm-itemtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-fm-itemtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-focal-subject-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-focal-subject-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-focal-subject-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '83418008' is not valid in the system http://snomed.info/sct version 3.0.2 (83418008)"
            },
            "expression": [
              "ValueSet/R3-focal-subject-for-R4B: ValueSet.compose.include[0].concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-food-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-food-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2093
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-food-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-formatcodes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-formatcodes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14217
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18234
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18379
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18510
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18654
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18815
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[4].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18963
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[5].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19107
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[6].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19235
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[7].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19368
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[8].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19482
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[9].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19600
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[10].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19718
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[11].system"
            ]
          },
          {
            "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[12].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19950
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[13].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20066
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[14].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20182
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[15].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20347
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[16].system"
            ]
          },
          {
            "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[17].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20642
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[18].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20775
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[19].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20898
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[20].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21034
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[21].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21166
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[22].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21281
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[23].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21435
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[24].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21609
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[25].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21787
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[26].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21957
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[27].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22131
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[28].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22315
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[29].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22496
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[30].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22673
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[31].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22845
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[32].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23024
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[33].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23198
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[34].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23390
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[35].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23580
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[36].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23754
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[37].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23879
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[38].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24002
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[39].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24201
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[40].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24400
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[41].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24540
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[42].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24682
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[43].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24825
              },
              {
                "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 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.expansion.contains[44].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING_VER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System/Version 'urn:oid:1.3.6.1.4.1.19376.1.2.3#20150326' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'urn:oid:1.3.6.1.4.1.19376.1.2.3' version '20150326' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R3-formatcodes-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-forms-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-forms-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-forms-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-fundsreserve-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-fundsreserve-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-fundsreserve-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-goal-acceptance-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-goal-acceptance-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-goal-acceptance-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-goal-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-goal-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-goal-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-goal-priority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-goal-priority-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-goal-priority-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-goal-relationship-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-goal-relationship-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-goal-relationship-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-goal-start-event-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-goal-start-event-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-goal-start-event-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-goal-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-goal-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-goal-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-goal-status-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-goal-status-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-goal-status-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-guide-dependency-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-guide-dependency-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-guide-dependency-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-guide-page-kind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-guide-page-kind-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-guide-page-kind-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-history-not-done-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-history-not-done-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-history-not-done-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-hl7-work-group-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-hl7-work-group-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15432
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-hl7-work-group-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-icd-10-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-icd-10-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-icd-10-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '123456' is not valid in the system http://hl7.org/fhir/sid/icd-10 version 3.0.2 (123456)"
            },
            "expression": [
              "ValueSet/R3-icd-10-for-R4B: ValueSet.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '123457' is not valid in the system http://hl7.org/fhir/sid/icd-10 version 3.0.2 (123457)"
            },
            "expression": [
              "ValueSet/R3-icd-10-for-R4B: ValueSet.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '987654' is not valid in the system http://hl7.org/fhir/sid/icd-10 version 3.0.2 (987654)"
            },
            "expression": [
              "ValueSet/R3-icd-10-for-R4B: ValueSet.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '123987' is not valid in the system http://hl7.org/fhir/sid/icd-10 version 3.0.2 (123987)"
            },
            "expression": [
              "ValueSet/R3-icd-10-for-R4B: ValueSet.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '112233' is not valid in the system http://hl7.org/fhir/sid/icd-10 version 3.0.2 (112233)"
            },
            "expression": [
              "ValueSet/R3-icd-10-for-R4B: ValueSet.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3625
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '997755' is not valid in the system http://hl7.org/fhir/sid/icd-10 version 3.0.2 (997755)"
            },
            "expression": [
              "ValueSet/R3-icd-10-for-R4B: ValueSet.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '321789' is not valid in the system http://hl7.org/fhir/sid/icd-10 version 3.0.2 (321789)"
            },
            "expression": [
              "ValueSet/R3-icd-10-for-R4B: ValueSet.compose.include[0].concept[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-icd-10-procedures-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-icd-10-procedures-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-icd-10-procedures-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-identifier-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-identifier-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-identifier-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-immunization-origin-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-immunization-origin-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-immunization-origin-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-immunization-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-immunization-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-immunization-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-immunization-recommendation-date-criterion-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-immunization-recommendation-date-criterion-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5669
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-immunization-recommendation-date-criterion-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-immunization-recommendation-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-immunization-recommendation-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3575
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-immunization-recommendation-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-immunization-recommendation-target-disease-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-immunization-recommendation-target-disease-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-immunization-recommendation-target-disease-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-immunization-route-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-immunization-route-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-immunization-route-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-immunization-site-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-immunization-site-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2669
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-immunization-site-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-implant-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-implant-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-implant-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-inactive-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-inactive-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-inactive-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-instance-availability-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-instance-availability-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'ii' means that the publisher should be 'HL7 International / Imaging Integration' but 'Imaging Integration' was found"
            },
            "expression": [
              "ValueSet/R3-instance-availability-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-intervention-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-intervention-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3045
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-intervention-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-investigation-sets-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-investigation-sets-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-investigation-sets-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-issue-severity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-issue-severity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-issue-severity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-issue-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-issue-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10866
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-issue-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-item-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-item-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-item-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-jurisdiction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-jurisdiction-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2488
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/usps-state'"
            },
            "expression": [
              "ValueSet/R3-jurisdiction-for-R4B: ValueSet.compose.include[2].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2493
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-jurisdiction-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The value set import http://hl7.org/fhir/ValueSet/usps-state could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R3-jurisdiction-for-R4B: ValueSet.compose.include[2].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unable to find included value set 'http://hl7.org/fhir/ValueSet/usps-state'"
            },
            "expression": [
              "ValueSet.where(id = 'R3-jurisdiction-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-kos-title-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-kos-title-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-kos-title-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-languages-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-languages-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-languages-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'sr-SP' is not valid in the system urn:ietf:bcp:47 version 3.0.2 (sr-SP)"
            },
            "expression": [
              "ValueSet/R3-languages-for-R4B: ValueSet.compose.include[0].concept[23]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ldlcholesterol-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ldlcholesterol-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-ldlcholesterol-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-list-empty-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-list-empty-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-list-empty-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-list-example-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-list-example-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-list-example-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-list-item-flag-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-list-item-flag-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6312
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-list-item-flag-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-list-order-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-list-order-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-list-order-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-location-physical-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-location-physical-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10035
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-location-physical-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-manifestation-or-symptom-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-manifestation-or-symptom-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-manifestation-or-symptom-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-marital-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-marital-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-marital-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-match-grade-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-match-grade-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-match-grade-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-measurement-principle-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-measurement-principle-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8268
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "ValueSet/R3-measurement-principle-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-media-view-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-media-view-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-media-view-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-admin-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-admin-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-medication-admin-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-admin-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-admin-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3598
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-medication-admin-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-as-needed-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-as-needed-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-medication-as-needed-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-medication-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-dispense-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-dispense-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-medication-dispense-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-dispense-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-dispense-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-medication-dispense-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-form-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-form-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-medication-form-codes-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('421967003')"
            },
            "expression": [
              "ValueSet/R3-medication-form-codes-for-R4B: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-package-form-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-package-form-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-medication-package-form-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-request-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-request-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-medication-request-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-request-priority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-request-priority-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-medication-request-priority-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-statement-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-statement-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-medication-statement-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-medication-statement-taken-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-medication-statement-taken-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-medication-statement-taken-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-message-events-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-message-events-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "ValueSet/R3-message-events-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-message-reason-encounter-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-message-reason-encounter-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "ValueSet/R3-message-reason-encounter-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-messageheader-response-request-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-messageheader-response-request-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-messageheader-response-request-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-missing-tooth-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-missing-tooth-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-missing-tooth-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-modified-foodtype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-modified-foodtype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4172
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-modified-foodtype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-name-assembly-order-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-name-assembly-order-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6486
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-name-assembly-order-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-name-part-qualifier-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-name-part-qualifier-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-name-part-qualifier-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-name-v3-representation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-name-v3-representation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-name-v3-representation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-nhin-purposeofuse-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-nhin-purposeofuse-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-nhin-purposeofuse-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-no-immunization-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-no-immunization-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-no-immunization-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-nutrient-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-nutrient-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-nutrient-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-nutrition-request-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-nutrition-request-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-nutrition-request-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-object-lifecycle-events-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-object-lifecycle-events-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-object-lifecycle-events-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-observation-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-observation-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-observation-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-observation-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-observation-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-observation-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-observation-interpretation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-observation-interpretation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-observation-interpretation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-observation-methods-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-observation-methods-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-observation-methods-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-observation-relationshiptypes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-observation-relationshiptypes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6690
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-observation-relationshiptypes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-observation-statistics-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-observation-statistics-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-observation-statistics-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-observation-valueabsentreason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-observation-valueabsentreason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-observation-valueabsentreason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-observation-vitalsignresult-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-observation-vitalsignresult-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6478
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-observation-vitalsignresult-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-operation-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-operation-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-operation-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-operation-parameter-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-operation-parameter-use-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-operation-parameter-use-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-operational-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-operational-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "ValueSet/R3-operational-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-oral-prosthodontic-material-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-oral-prosthodontic-material-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-oral-prosthodontic-material-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-organization-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-organization-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-organization-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-parameter-group-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-parameter-group-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "ValueSet/R3-parameter-group-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-parent-relationship-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-parent-relationship-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-parent-relationship-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-participant-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-participant-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-participant-role-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('394730007')"
            },
            "expression": [
              "ValueSet/R3-participant-role-for-R4B: ValueSet.compose.include[2].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-participantrequired-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-participantrequired-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-participantrequired-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-participationstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-participationstatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-participationstatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-payeetype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-payeetype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-payeetype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-payment-adjustment-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-payment-adjustment-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-payment-adjustment-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-payment-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-payment-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-payment-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-payment-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-payment-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-payment-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-performer-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-performer-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2146
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-performer-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-plan-definition-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-plan-definition-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-plan-definition-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-policyholder-relationship-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-policyholder-relationship-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5585
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-policyholder-relationship-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-postal-address-use-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-postal-address-use-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-postal-address-use-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-practitioner-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-practitioner-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-practitioner-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-practitioner-specialty-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-practitioner-specialty-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-practitioner-specialty-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-probability-distribution-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-probability-distribution-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-probability-distribution-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-procedure-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-procedure-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-procedure-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-procedure-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-procedure-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-procedure-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-procedure-followup-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-procedure-followup-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-procedure-followup-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-procedure-not-performed-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-procedure-not-performed-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-procedure-not-performed-reason-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('416064006')"
            },
            "expression": [
              "ValueSet/R3-procedure-not-performed-reason-for-R4B: ValueSet.compose.include[4].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('183944003')"
            },
            "expression": [
              "ValueSet/R3-procedure-not-performed-reason-for-R4B: ValueSet.compose.include[6].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-procedure-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-procedure-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-procedure-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-procedure-progress-status-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-procedure-progress-status-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-procedure-progress-status-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-procedure-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-procedure-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2462
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'ii' means that the publisher should be 'HL7 International / Imaging Integration' but 'Imaging Integration' was found"
            },
            "expression": [
              "ValueSet/R3-procedure-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-process-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-process-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-process-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-process-priority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-process-priority-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-process-priority-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-profile-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-profile-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-profile-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-property-representation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-property-representation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-property-representation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-provenance-activity-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-provenance-activity-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-provenance-activity-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-provenance-entity-role-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-provenance-entity-role-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-provenance-entity-role-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-provider-qualification-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-provider-qualification-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-provider-qualification-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-provider-taxonomy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-provider-taxonomy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-provider-taxonomy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-publication-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-publication-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-publication-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-quality-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-quality-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R3-quality-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-quantity-comparator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-quantity-comparator-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-quantity-comparator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-question-max-occurs-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-question-max-occurs-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2744
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-question-max-occurs-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-questionnaire-answers-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-questionnaire-answers-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-questionnaire-answers-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-questionnaire-answers-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-questionnaire-answers-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-questionnaire-answers-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-questionnaire-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-questionnaire-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-questionnaire-category-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '273820006' is not valid in the system http://snomed.info/sct version 3.0.2 (273820006)"
            },
            "expression": [
              "ValueSet/R3-questionnaire-category-for-R4B: ValueSet.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '273384008' is not valid in the system http://snomed.info/sct version 3.0.2 (273384008)"
            },
            "expression": [
              "ValueSet/R3-questionnaire-category-for-R4B: ValueSet.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '273601006' is not valid in the system http://snomed.info/sct version 3.0.2 (273601006)"
            },
            "expression": [
              "ValueSet/R3-questionnaire-category-for-R4B: ValueSet.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '273479001' is not valid in the system http://snomed.info/sct version 3.0.2 (273479001)"
            },
            "expression": [
              "ValueSet/R3-questionnaire-category-for-R4B: ValueSet.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '304784009' is not valid in the system http://snomed.info/sct version 3.0.2 (304784009)"
            },
            "expression": [
              "ValueSet/R3-questionnaire-category-for-R4B: ValueSet.compose.include[0].concept[4]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-questionnaire-display-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-questionnaire-display-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-questionnaire-display-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-questionnaire-item-control-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-questionnaire-item-control-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-questionnaire-item-control-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-questionnaire-questions-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-questionnaire-questions-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-questionnaire-questions-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-questionnaire-usage-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-questionnaire-usage-mode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5734
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-questionnaire-usage-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-reaction-event-certainty-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-reaction-event-certainty-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-reaction-event-certainty-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-reaction-event-severity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-reaction-event-severity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-reaction-event-severity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-reason-medication-given-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-reason-medication-given-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-reason-medication-given-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-reason-medication-not-given-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-reason-medication-not-given-codes-for-R4B",
        "issue": [
          {
            "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": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-reason-medication-not-given-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-reason-medication-not-taken-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-reason-medication-not-taken-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R3-reason-medication-not-taken-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-reference-handling-policy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-reference-handling-policy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-reference-handling-policy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-reference-version-rules-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-reference-version-rules-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-reference-version-rules-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-referencerange-appliesto-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-referencerange-appliesto-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-Race'"
            },
            "expression": [
              "ValueSet/R3-referencerange-appliesto-for-R4B: ValueSet.compose.include[0].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-referencerange-appliesto-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The value set import http://hl7.org/fhir/ValueSet/v3-Race could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R3-referencerange-appliesto-for-R4B: ValueSet.compose.include[0].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unable to find included value set 'http://hl7.org/fhir/ValueSet/v3-Race'"
            },
            "expression": [
              "ValueSet.where(id = 'R3-referencerange-appliesto-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-referencerange-meaning-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-referencerange-meaning-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-referencerange-meaning-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-referral-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-referral-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-referral-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-related-artifact-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-related-artifact-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-related-artifact-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-related-claim-relationship-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-related-claim-relationship-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-related-claim-relationship-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-relatedperson-relationshiptype-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-relatedperson-relationshiptype-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37633
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-relatedperson-relationshiptype-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-relationship-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-relationship-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3636
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-relationship-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-remittance-outcome-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-remittance-outcome-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3409
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-remittance-outcome-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-report-action-result-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-report-action-result-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-report-action-result-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-report-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-report-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-report-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-report-participant-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-report-participant-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-report-participant-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-report-result-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-report-result-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2780
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-report-result-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-report-status-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-report-status-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-report-status-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-repository-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-repository-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R3-repository-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-request-priority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-request-priority-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-request-priority-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-request-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-request-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-request-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-research-study-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-research-study-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R3-research-study-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-research-subject-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-research-subject-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R3-research-subject-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-resource-aggregation-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-resource-aggregation-mode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-resource-aggregation-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-resource-slicing-rules-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-resource-slicing-rules-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-resource-slicing-rules-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-resource-type-link-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-resource-type-link-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-resource-type-link-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-resource-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-resource-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-resource-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-resource-validation-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-resource-validation-mode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-resource-validation-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-response-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-response-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "ValueSet/R3-response-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-restful-capability-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-restful-capability-mode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-restful-capability-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-restful-security-service-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-restful-security-service-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3866
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-restful-security-service-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-risk-probability-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-risk-probability-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3250
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R3-risk-probability-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-route-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-route-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-route-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-search-comparator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-search-comparator-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-search-comparator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-search-entry-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-search-entry-mode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-search-entry-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-search-modifier-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-search-modifier-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-search-modifier-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-search-param-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-search-param-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-search-param-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-search-xpath-usage-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-search-xpath-usage-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-search-xpath-usage-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-security-labels-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-security-labels-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 145868
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-security-labels-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-security-role-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-security-role-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-security-role-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-sequence-quality-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-sequence-quality-method-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2199
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://precision.fda.gov/apps/'"
            },
            "expression": [
              "ValueSet/R3-sequence-quality-method-for-R4B: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2244
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://precision.fda.gov/jobs/'"
            },
            "expression": [
              "ValueSet/R3-sequence-quality-method-for-R4B: ValueSet.compose.include[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R3-sequence-quality-method-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system https://precision.fda.gov/apps/"
            },
            "expression": [
              "ValueSet.where(id = 'R3-sequence-quality-method-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-sequence-quality-standardSequence-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-sequence-quality-standardSequence-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://precision.fda.gov/files/'"
            },
            "expression": [
              "ValueSet/R3-sequence-quality-standardSequence-for-R4B: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R3-sequence-quality-standardSequence-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system https://precision.fda.gov/files/"
            },
            "expression": [
              "ValueSet.where(id = 'R3-sequence-quality-standardSequence-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-sequence-referenceSeq-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-sequence-referenceSeq-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2259
              },
              {
                "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://www.ensembl.org'"
            },
            "expression": [
              "ValueSet/R3-sequence-referenceSeq-for-R4B: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2308
              },
              {
                "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://www.ncbi.nlm.nih.gov/nuccore'"
            },
            "expression": [
              "ValueSet/R3-sequence-referenceSeq-for-R4B: ValueSet.compose.include[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2312
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R3-sequence-referenceSeq-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://www.ensembl.org"
            },
            "expression": [
              "ValueSet.where(id = 'R3-sequence-referenceSeq-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-sequence-species-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-sequence-species-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-sequence-species-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-sequence-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-sequence-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R3-sequence-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-service-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-service-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-service-category-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://hl7.org/fhir/service-category' which has status 'example'"
            },
            "expression": [
              "ValueSet/R3-service-category-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://hl7.org/fhir/service-category"
            },
            "expression": [
              "ValueSet.where(id = 'R3-service-category-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-service-modifiers-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-service-modifiers-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-service-modifiers-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-service-pharmacy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-service-pharmacy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-service-pharmacy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-service-place-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-service-place-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-service-place-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-service-product-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-service-product-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-service-product-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-service-provision-conditions-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-service-provision-conditions-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-service-provision-conditions-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-service-referral-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-service-referral-method-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-service-referral-method-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-service-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-service-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-service-type-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://hl7.org/fhir/service-type' which has status 'example'"
            },
            "expression": [
              "ValueSet/R3-service-type-for-R4B: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://hl7.org/fhir/service-type"
            },
            "expression": [
              "ValueSet.where(id = 'R3-service-type-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-service-uscls-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-service-uscls-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6700
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-service-uscls-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-sibling-relationship-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-sibling-relationship-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-sibling-relationship-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-signature-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-signature-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-signature-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-slotstatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-slotstatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-slotstatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-special-values-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-special-values-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-special-values-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-specification-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-specification-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "ValueSet/R3-specification-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-specimen-collection-method-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-specimen-collection-method-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4374
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-specimen-collection-method-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-specimen-collection-priority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-specimen-collection-priority-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-specimen-collection-priority-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING_VER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System/Version 'http://example.com#3.0.2' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'http://example.com' version '3.0.2' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R3-specimen-collection-priority-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-specimen-container-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-specimen-container-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-specimen-container-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-specimen-processing-procedure-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-specimen-processing-procedure-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-specimen-processing-procedure-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-specimen-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-specimen-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2830
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-specimen-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-structure-definition-kind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-structure-definition-kind-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-structure-definition-kind-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-subscription-channel-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-subscription-channel-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-subscription-channel-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-subscription-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-subscription-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2782
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-subscription-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-subscription-tag-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-subscription-tag-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-subscription-tag-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-substance-category-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-substance-category-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-substance-category-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-substance-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-substance-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R3-substance-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-substance-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-substance-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-substance-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-supplement-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-supplement-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11845
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-supplement-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-supply-item-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-supply-item-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-supply-item-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-supplydelivery-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-supplydelivery-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-supplydelivery-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-supplyrequest-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-supplyrequest-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-supplyrequest-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-surface-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-surface-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-surface-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-system-restful-interaction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-system-restful-interaction-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2913
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-system-restful-interaction-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-system-version-processing-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-system-version-processing-mode-for-R4B"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-task-performer-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-task-performer-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-task-performer-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-task-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-task-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-task-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-teeth-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-teeth-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-teeth-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-template-status-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-template-status-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4801
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-template-status-code-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4294
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "not-supported",
            "details": {
              "text": "The terminology server null used for the CodeSystem urn:oid:2.16.840.1.113883.3.1937.98.5.8|3.0.2 does not support batch validation (tx version Not Known), so the codes have not been validated"
            },
            "expression": [
              "ValueSet/R3-template-status-code-for-R4B: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-testscript-operation-codes-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-testscript-operation-codes-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-testscript-operation-codes-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-testscript-profile-destination-types-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-testscript-profile-destination-types-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-testscript-profile-destination-types-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-texture-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-texture-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-texture-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-timing-abbreviation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-timing-abbreviation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-timing-abbreviation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-tooth-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-tooth-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-tooth-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-transaction-mode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-transaction-mode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-transaction-mode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-trigger-type-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-trigger-type-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-trigger-type-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-type-derivation-rule-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-type-derivation-rule-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-type-derivation-rule-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-type-restful-interaction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-type-restful-interaction-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4518
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-type-restful-interaction-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ucum-bodylength-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ucum-bodylength-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-ucum-bodylength-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ucum-bodytemp-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ucum-bodytemp-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-ucum-bodytemp-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ucum-bodyweight-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ucum-bodyweight-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2476
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-ucum-bodyweight-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-ucum-common-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-ucum-common-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 147870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-ucum-common-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 84352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '[M'U]' is not valid in the system http://unitsofmeasure.org version 3.0.2 ([M'U])"
            },
            "expression": [
              "ValueSet/R3-ucum-common-for-R4B: ValueSet.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 84399
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '[ppt]' is not valid in the system http://unitsofmeasure.org version 3.0.2 ([ppt])"
            },
            "expression": [
              "ValueSet/R3-ucum-common-for-R4B: ValueSet.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 84465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '{Ehrlich'U}/100g' is not valid in the system http://unitsofmeasure.org version 3.0.2 ({Ehrlich'U}/100g)"
            },
            "expression": [
              "ValueSet/R3-ucum-common-for-R4B: ValueSet.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 84500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '{G}U' is not valid in the system http://unitsofmeasure.org version 3.0.2 ({G}U)"
            },
            "expression": [
              "ValueSet/R3-ucum-common-for-R4B: ValueSet.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 84602
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'iU' is not valid in the system http://unitsofmeasure.org version 3.0.2 (iU)"
            },
            "expression": [
              "ValueSet/R3-ucum-common-for-R4B: ValueSet.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 84670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'mmol/kg[H20]' is not valid in the system http://unitsofmeasure.org version 3.0.2 (mmol/kg[H20])"
            },
            "expression": [
              "ValueSet/R3-ucum-common-for-R4B: ValueSet.compose.include[0].concept[9]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-udi-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-udi-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2533
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-udi-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-unknown-content-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-unknown-content-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4590
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-unknown-content-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-use-context-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-use-context-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3526
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/usps-state'"
            },
            "expression": [
              "ValueSet/R3-use-context-for-R4B: ValueSet.compose.include[0].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActEncounterCode'"
            },
            "expression": [
              "ValueSet/R3-use-context-for-R4B: ValueSet.compose.include[10].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/v3-ActTaskCode'"
            },
            "expression": [
              "ValueSet/R3-use-context-for-R4B: ValueSet.compose.include[11].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-use-context-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The value set import http://hl7.org/fhir/ValueSet/usps-state could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R3-use-context-for-R4B: ValueSet.compose.include[0].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The value set import http://hl7.org/fhir/ValueSet/v3-ActEncounterCode could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R3-use-context-for-R4B: ValueSet.compose.include[10].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The value set import http://hl7.org/fhir/ValueSet/v3-ActTaskCode could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R3-use-context-for-R4B: ValueSet.compose.include[11].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unable to find included value set 'http://hl7.org/fhir/ValueSet/usps-state'"
            },
            "expression": [
              "ValueSet.where(id = 'R3-use-context-for-R4B')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-usps-state-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-usps-state-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-usps-state-for-R4B: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'UM' is not valid in the system https://www.usps.com/ version 3.0.2 (UM)"
            },
            "expression": [
              "ValueSet/R3-usps-state-for-R4B: ValueSet.compose.include[0].concept[51]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0001-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0001-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4262
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0001-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0002-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0002-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0002-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0004-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0004-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0004-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0005-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0005-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0005-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0007-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0007-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4735
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0007-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0008-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0008-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0008-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0009-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0009-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0009-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0012-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0012-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0012-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0017-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0017-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0017-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0023-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0023-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0023-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0027-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0027-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4315
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0027-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0033-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0033-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0033-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0034-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0034-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0034-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0038-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0038-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0038-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0043-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0043-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0043-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0048-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0048-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0048-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0052-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0052-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0052-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0061-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0061-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0061-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0062-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0062-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0062-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0063-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0063-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0063-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0065-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0065-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0065-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0066-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0066-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7818
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0066-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0069-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0069-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4079
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0069-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0070-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0070-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0070-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0074-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0074-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0074-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0076-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0076-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 71475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0076-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0078-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0078-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0078-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0080-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0080-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0080-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0083-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0083-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0083-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0085-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0085-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0085-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0091-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0091-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0091-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0098-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0098-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0098-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0100-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0100-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0100-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0102-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0102-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0102-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0103-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0103-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0103-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0104-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0104-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0104-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0105-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0105-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3494
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0105-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0106-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0106-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0106-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0107-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0107-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0107-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0108-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0108-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0108-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0109-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0109-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0109-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0119-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0119-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0119-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0121-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0121-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4329
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0121-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0122-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0122-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0122-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0123-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0123-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7449
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0123-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0124-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0124-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0124-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0125-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0125-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38191
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0125-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0126-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0126-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0126-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0127-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0127-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0127-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0128-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0128-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3555
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0128-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0130-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0130-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3568
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0130-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0131-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0131-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0131-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0133-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0133-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0133-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0135-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0135-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0135-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0136-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0136-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0136-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0137-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0137-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0137-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0140-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0140-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0140-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0141-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0141-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4181
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0141-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0142-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0142-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0142-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0144-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0144-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0144-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0145-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0145-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0145-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0146-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0146-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0146-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0147-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0147-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0147-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0148-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0148-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2902
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0148-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0149-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0149-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0149-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0150-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0150-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0150-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0153-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0153-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0153-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0155-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0155-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3708
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0155-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0156-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0156-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0156-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0157-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0157-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0157-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0158-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0158-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0158-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0159-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0159-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3219
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0159-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0160-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0160-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0160-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0161-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0161-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0161-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0162-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0162-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0162-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0163-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0163-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0163-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0164-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0164-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0164-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0165-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0165-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0165-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0166-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0166-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0166-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0167-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0167-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7464
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0167-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0168-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0168-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0168-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0169-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0169-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0169-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0170-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0170-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0170-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0173-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0173-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2891
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0173-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0174-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0174-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6165
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0174-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0175-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0175-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0175-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0177-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0177-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0177-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0178-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0178-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0178-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0179-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0179-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0179-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0180-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0180-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0180-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0181-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0181-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0181-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0183-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0183-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2882
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0183-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0185-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0185-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0185-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0187-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0187-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2970
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0187-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0189-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0189-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0189-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0190-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0190-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0190-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0191-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0191-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0191-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0193-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0193-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0193-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0200-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0200-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0200-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0201-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0201-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0201-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0202-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0202-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0202-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0203-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0203-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47676
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0203-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0204-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0204-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0204-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0205-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0205-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0205-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0206-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0206-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0206-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0207-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0207-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0207-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0208-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0208-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0208-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0209-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0209-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0209-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0210-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0210-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0210-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0211-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0211-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0211-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0213-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0213-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0213-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0214-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0214-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0214-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0215-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0215-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3568
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0215-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0216-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0216-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0216-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0217-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0217-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0217-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0220-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0220-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0220-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0223-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0223-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0223-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0224-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0224-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0224-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0225-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0225-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0225-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0227-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0227-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0227-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0228-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0228-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0228-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0229-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0229-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0229-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0230-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0230-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0230-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0231-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0231-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3274
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0231-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0232-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0232-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0232-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0234-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0234-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0234-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0235-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0235-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0235-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0236-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0236-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3670
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0236-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0237-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0237-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5136
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0237-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0238-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0238-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0238-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0239-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0239-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0239-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0240-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0240-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0240-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0241-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0241-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4685
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0241-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0242-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0242-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0242-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0243-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0243-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0243-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0247-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0247-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0247-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0248-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0248-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0248-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0250-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0250-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0250-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0251-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0251-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4618
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0251-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0252-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0252-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0252-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0253-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0253-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3952
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0253-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0254-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0254-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0254-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0255-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0255-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0255-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0256-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0256-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0256-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0257-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0257-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3876
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0257-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0258-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0258-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0258-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0259-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0259-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0259-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0260-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0260-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0260-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0261-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0261-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0261-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0262-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0262-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0262-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0263-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0263-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0263-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0265-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0265-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0265-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0267-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0267-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0267-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0268-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0268-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0268-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0269-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0269-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2900
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0269-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0270-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0270-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0270-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0271-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0271-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0271-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0272-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0272-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0272-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0273-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0273-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0273-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0275-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0275-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0275-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0277-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0277-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0277-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0278-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0278-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0278-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0279-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0279-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4422
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0279-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0280-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0280-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0280-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0281-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0281-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0281-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0282-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0282-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0282-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0283-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0283-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3554
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0283-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0284-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0284-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0284-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0286-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0286-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0286-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0287-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0287-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4621
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0287-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0290-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0290-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0290-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0291-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0291-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0291-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0292-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0292-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0292-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0294-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0294-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0294-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0298-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0298-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0298-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0299-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0299-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0299-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0301-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0301-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0301-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0305-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0305-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0305-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0309-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0309-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0309-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0311-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0311-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0311-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0315-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0315-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0315-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0316-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0316-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0316-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0317-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0317-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0317-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0321-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0321-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0321-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0322-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0322-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3645
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0322-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0323-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0323-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0323-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0324-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0324-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0324-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0325-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0325-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0325-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0326-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0326-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0326-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0329-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0329-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0329-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0330-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0330-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0330-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0331-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0331-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0331-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0332-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0332-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0332-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0334-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0334-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0334-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0335-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0335-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15156
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0335-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0336-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0336-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0336-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0337-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0337-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0337-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0338-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0338-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0338-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0339-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0339-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0339-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0344-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0344-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9548
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0344-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0350-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0350-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36441
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0350-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0351-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0351-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7282
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0351-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0353-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0353-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3727
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0353-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0354-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0354-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 113890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0354-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0355-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0355-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0355-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0356-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0356-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0356-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0357-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0357-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0357-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0359-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0359-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4629
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0359-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0363-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0363-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0363-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0364-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0364-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0364-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0365-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0365-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8093
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0365-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0366-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0366-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0366-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0367-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0367-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0367-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0368-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0368-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0368-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0369-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0369-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0369-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0370-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0370-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0370-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0372-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0372-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0372-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0373-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0373-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0373-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0374-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0374-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2627
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0374-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0375-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0375-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0375-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0376-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0376-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0376-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0377-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0377-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0377-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0383-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0383-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6295
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0383-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0384-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0384-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0384-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0387-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0387-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4620
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0387-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0388-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0388-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0388-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0389-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0389-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0389-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0392-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0392-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3811
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0392-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0393-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0393-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0393-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0394-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0394-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0394-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0395-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0395-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0395-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0396-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0396-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0396-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0397-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0397-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0397-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0398-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0398-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0398-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0401-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0401-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0401-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0402-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0402-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0402-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0403-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0403-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0403-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0404-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0404-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0404-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0406-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0406-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0406-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0409-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0409-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3278
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0409-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0411-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0411-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0411-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0415-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0415-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0415-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0416-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0416-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0416-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0417-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0417-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0417-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0418-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0418-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0418-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0421-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0421-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0421-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0422-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0422-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0422-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0423-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0423-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0423-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0424-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0424-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0424-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0425-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0425-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0425-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0426-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0426-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0426-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0427-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0427-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0427-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0428-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0428-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0428-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0429-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0429-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0429-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0430-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0430-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0430-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0431-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0431-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0431-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0432-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0432-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0432-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0433-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0433-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0433-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0434-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0434-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0434-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0435-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0435-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0435-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0436-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0436-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0436-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0437-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0437-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0437-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0438-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0438-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0438-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0440-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0440-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0440-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0441-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0441-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0441-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0442-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0442-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0442-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0443-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0443-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0443-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0444-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0444-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0444-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0445-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0445-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0445-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0450-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0450-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0450-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0455-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0455-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0455-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0456-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0456-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4845
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0456-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0457-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0457-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0457-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0459-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0459-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0459-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0460-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0460-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0460-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0465-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0465-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0465-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0466-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0466-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0466-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0468-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0468-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0468-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0469-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0469-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0469-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0470-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0470-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6220
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0470-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0472-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0472-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0472-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0473-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0473-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0473-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0474-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0474-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0474-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0475-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0475-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4008
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0475-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0477-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0477-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0477-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0478-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0478-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0478-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0480-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0480-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0480-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0482-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0482-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0482-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0483-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0483-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0483-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0484-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0484-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0484-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0485-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0485-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0485-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0487-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0487-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0487-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0488-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0488-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0488-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0489-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0489-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6291
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0489-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0490-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0490-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0490-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0491-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0491-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0491-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0492-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0492-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0492-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0494-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0494-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0494-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0495-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0495-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0495-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0496-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0496-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58506
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0496-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0497-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0497-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0497-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0498-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0498-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0498-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0499-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0499-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0499-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0500-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0500-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0500-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0501-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0501-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0501-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0502-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0502-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0502-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0503-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0503-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0503-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0504-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0504-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0504-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0505-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0505-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0505-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0506-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0506-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0506-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0507-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0507-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0507-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0508-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0508-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0508-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0510-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0510-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0510-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0511-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0511-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0511-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0513-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0513-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0513-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0514-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0514-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11201
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0514-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0516-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0516-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3565
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0516-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0517-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0517-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0517-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0518-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0518-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0518-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0520-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0520-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0520-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0523-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0523-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0523-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0524-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0524-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0524-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0527-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0527-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0527-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0528-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0528-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0528-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0529-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0529-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0529-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0530-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0530-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0530-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0532-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0532-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0532-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0534-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0534-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3893
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0534-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0535-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0535-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0535-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0536-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0536-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0536-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0538-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0538-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3628
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0538-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0540-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0540-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0540-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0544-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0544-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0544-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0547-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0547-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0547-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0548-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0548-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0548-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0550-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0550-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 169435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0550-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0553-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0553-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0553-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0554-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0554-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3346
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0554-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0555-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0555-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0555-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0556-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0556-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0556-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0557-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0557-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0557-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0558-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0558-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0558-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0559-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0559-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0559-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0561-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0561-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0561-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0562-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0562-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0562-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0564-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0564-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3712
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0564-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0565-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0565-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0565-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0566-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0566-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0566-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0569-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0569-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0569-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0570-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0570-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0570-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0571-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0571-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0571-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0572-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0572-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0572-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0615-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0615-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0615-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0616-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0616-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0616-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0617-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0617-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0617-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0618-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0618-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3329
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0618-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0625-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0625-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0625-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0634-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0634-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0634-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0642-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0642-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0642-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0651-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0651-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0651-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0653-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0653-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0653-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0657-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0657-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0657-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0659-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0659-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0659-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0667-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0667-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0667-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0669-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0669-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0669-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0682-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0682-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2844
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0682-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0702-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0702-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0702-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0717-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0717-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0717-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0719-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0719-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0719-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0725-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0725-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0725-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0728-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0728-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0728-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0731-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0731-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0731-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0734-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0734-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6340
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0734-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0739-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0739-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0739-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0742-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0742-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5379
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0742-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0749-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0749-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0749-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0755-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0755-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0755-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0757-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0757-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0757-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0759-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0759-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0759-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0761-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0761-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0761-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0763-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0763-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0763-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0776-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0776-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3220
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0776-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0778-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0778-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4018
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0778-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0790-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0790-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0790-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0793-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0793-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0793-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0806-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0806-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0806-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0818-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0818-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0818-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0834-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0834-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4894
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0834-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0868-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0868-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0868-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0871-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0871-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4715
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0871-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0881-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0881-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0881-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0882-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0882-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2889
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0882-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0894-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0894-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0894-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0895-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0895-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0895-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0904-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0904-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3356
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0904-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0905-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0905-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0905-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0906-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0906-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0906-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0907-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0907-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0907-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0909-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0909-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0909-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0912-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0912-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0912-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0914-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0914-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0914-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0916-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0916-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0916-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0917-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0917-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0917-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0918-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0918-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0918-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0919-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0919-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3688
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0919-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0920-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0920-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2877
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0920-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0921-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0921-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0921-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0922-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0922-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3323
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0922-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0923-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0923-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3802
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0923-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0924-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0924-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4350
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0924-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0925-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0925-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0925-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0926-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0926-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0926-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0927-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0927-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0927-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0933-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0933-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0933-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-0935-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-0935-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-0935-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-2.1-0006-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-2.1-0006-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5659
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-2.1-0006-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-2.3.1-0360-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-2.3.1-0360-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-2.3.1-0360-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-2.4-0006-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-2.4-0006-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-2.4-0006-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-2.4-0391-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-2.4-0391-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-2.4-0391-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-2.6-0391-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-2.6-0391-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-2.6-0391-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-2.7-0360-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-2.7-0360-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R3-v2-2.7-0360-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v2-4000-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v2-4000-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3503
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v2-4000-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-AcknowledgementCondition-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-AcknowledgementCondition-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3970
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-AcknowledgementCondition-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-AcknowledgementDetailCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-AcknowledgementDetailCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-AcknowledgementDetailCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-AcknowledgementDetailType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-AcknowledgementDetailType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5066
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-AcknowledgementDetailType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-AcknowledgementType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-AcknowledgementType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6315
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-AcknowledgementType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActClass-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActClass-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114555
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActClass-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActClassClinicalDocument-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActClassClinicalDocument-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActClassClinicalDocument-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActClassDocument-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActClassDocument-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5469
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActClassDocument-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActClassInvestigation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActClassInvestigation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActClassInvestigation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActClassObservation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActClassObservation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36016
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActClassObservation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActClassProcedure-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActClassProcedure-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActClassProcedure-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActClassROI-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActClassROI-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActClassROI-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActClassSupply-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActClassSupply-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActClassSupply-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActConsentType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActConsentType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActConsentType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActCoverageTypeCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActCoverageTypeCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActCoverageTypeCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActExposureLevelCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActExposureLevelCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActExposureLevelCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActInvoiceElementModifier-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActInvoiceElementModifier-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4798
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActInvoiceElementModifier-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActInvoiceGroupCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActInvoiceGroupCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14759
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActInvoiceGroupCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActMood-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActMood-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActMood-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActMoodIntent-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActMoodIntent-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActMoodIntent-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActMoodPredicate-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActMoodPredicate-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8459
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActMoodPredicate-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActRelationshipCheckpoint-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActRelationshipCheckpoint-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActRelationshipCheckpoint-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActRelationshipConditional-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActRelationshipConditional-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActRelationshipConditional-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActRelationshipFulfills-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActRelationshipFulfills-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActRelationshipFulfills-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActRelationshipHasComponent-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActRelationshipHasComponent-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActRelationshipHasComponent-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActRelationshipJoin-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActRelationshipJoin-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActRelationshipJoin-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActRelationshipPertains-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActRelationshipPertains-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActRelationshipPertains-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActRelationshipSplit-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActRelationshipSplit-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5641
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActRelationshipSplit-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActRelationshipSubset-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActRelationshipSubset-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11493
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActRelationshipSubset-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActRelationshipType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActRelationshipType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102555
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActRelationshipType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActSite-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActSite-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24760
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActSite-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActStatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActStatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActTaskCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActTaskCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActTaskCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActUSPrivacyLaw-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActUSPrivacyLaw-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActUSPrivacyLaw-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ActUncertainty-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ActUncertainty-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ActUncertainty-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-AddressPartType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-AddressPartType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19956
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-AddressPartType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-AddressUse-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-AddressUse-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11780
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-AddressUse-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-AdministrativeGender-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-AdministrativeGender-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-AdministrativeGender-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-AmericanIndianAlaskaNativeLanguages-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-AmericanIndianAlaskaNativeLanguages-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-AmericanIndianAlaskaNativeLanguages-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-Calendar-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-Calendar-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-Calendar-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-CalendarCycle-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-CalendarCycle-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9894
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-CalendarCycle-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-CalendarType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-CalendarType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-CalendarType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-Charset-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-Charset-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-Charset-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-CodingRationale-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-CodingRationale-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-CodingRationale-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-CommunicationFunctionType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-CommunicationFunctionType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4061
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-CommunicationFunctionType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-Compartment-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-Compartment-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-Compartment-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-CompressionAlgorithm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-CompressionAlgorithm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5771
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-CompressionAlgorithm-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-Confidentiality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-Confidentiality-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-Confidentiality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ConfidentialityClassification-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ConfidentialityClassification-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ConfidentialityClassification-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ContainerCap-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ContainerCap-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5486
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ContainerCap-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ContainerSeparator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ContainerSeparator-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ContainerSeparator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ContentProcessingMode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ContentProcessingMode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ContentProcessingMode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ContextControl-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ContextControl-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ContextControl-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-DataOperation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-DataOperation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15763
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-DataOperation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-DeviceAlertLevel-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-DeviceAlertLevel-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-DeviceAlertLevel-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-DocumentCompletion-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-DocumentCompletion-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-DocumentCompletion-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-DocumentSectionType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-DocumentSectionType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-DocumentSectionType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-DocumentStorage-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-DocumentStorage-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-DocumentStorage-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EducationLevel-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EducationLevel-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EducationLevel-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EmployeeJobClass-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EmployeeJobClass-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3491
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EmployeeJobClass-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EncounterAdmissionSource-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EncounterAdmissionSource-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3898
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EncounterAdmissionSource-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EncounterSpecialCourtesy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EncounterSpecialCourtesy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EncounterSpecialCourtesy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityClass-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityClass-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityClass-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityClassDevice-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityClassDevice-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityClassDevice-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityClassLivingSubject-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityClassLivingSubject-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityClassLivingSubject-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityClassManufacturedMaterial-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityClassManufacturedMaterial-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityClassManufacturedMaterial-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityClassOrganization-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityClassOrganization-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4836
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityClassOrganization-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityClassPlace-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityClassPlace-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5007
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityClassPlace-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityClassRoot-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityClassRoot-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityClassRoot-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityDeterminer-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityDeterminer-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityDeterminer-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityDeterminerDetermined-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityDeterminerDetermined-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3806
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityDeterminerDetermined-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityHandling-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityHandling-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityHandling-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityNamePartQualifier-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityNamePartQualifier-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityNamePartQualifier-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityNamePartQualifierR2-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityNamePartQualifierR2-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityNamePartQualifierR2-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityNamePartType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityNamePartType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityNamePartType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityNamePartTypeR2-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityNamePartTypeR2-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityNamePartTypeR2-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityNameUse-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityNameUse-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityNameUse-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityNameUseR2-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityNameUseR2-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityNameUseR2-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityRisk-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityRisk-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8070
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityRisk-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EntityStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EntityStatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EntityStatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-EquipmentAlertLevel-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-EquipmentAlertLevel-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-EquipmentAlertLevel-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-Ethnicity-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-Ethnicity-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-Ethnicity-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ExposureMode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ExposureMode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ExposureMode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-GTSAbbreviation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-GTSAbbreviation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20937
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-GTSAbbreviation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-GenderStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-GenderStatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-GenderStatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-GeneralPurposeOfUse-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-GeneralPurposeOfUse-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-GeneralPurposeOfUse-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-HL7UpdateMode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-HL7UpdateMode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-HL7UpdateMode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-HtmlLinkType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-HtmlLinkType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-HtmlLinkType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-HumanLanguage-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-HumanLanguage-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-HumanLanguage-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-IdentifierReliability-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-IdentifierReliability-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4385
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-IdentifierReliability-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-IdentifierScope-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-IdentifierScope-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-IdentifierScope-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-InformationSensitivityPolicy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-InformationSensitivityPolicy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-InformationSensitivityPolicy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-IntegrityCheckAlgorithm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-IntegrityCheckAlgorithm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3629
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-IntegrityCheckAlgorithm-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-LanguageAbilityMode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-LanguageAbilityMode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-LanguageAbilityMode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-LanguageAbilityProficiency-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-LanguageAbilityProficiency-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4367
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-LanguageAbilityProficiency-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-LivingArrangement-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-LivingArrangement-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-LivingArrangement-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-LocalMarkupIgnore-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-LocalMarkupIgnore-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-LocalMarkupIgnore-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-LocalRemoteControlState-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-LocalRemoteControlState-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3461
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-LocalRemoteControlState-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ManagedParticipationStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ManagedParticipationStatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6130
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ManagedParticipationStatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-MapRelationship-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-MapRelationship-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-MapRelationship-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-MaritalStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-MaritalStatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6961
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-MaritalStatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-MessageWaitingPriority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-MessageWaitingPriority-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-MessageWaitingPriority-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-MilitaryRoleType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-MilitaryRoleType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-MilitaryRoleType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ModifyIndicator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ModifyIndicator-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ModifyIndicator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-NullFlavor-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-NullFlavor-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13919
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-NullFlavor-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ObligationPolicy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ObligationPolicy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ObligationPolicy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ObservationInterpretation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ObservationInterpretation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50529
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ObservationInterpretation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ObservationMethod-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ObservationMethod-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 169599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ObservationMethod-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ObservationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ObservationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ObservationType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 157373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ObservationValue-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ParticipationFunction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ParticipationFunction-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32094
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ParticipationFunction-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ParticipationIndirectTarget-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ParticipationIndirectTarget-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ParticipationIndirectTarget-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ParticipationInformationGenerator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ParticipationInformationGenerator-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7097
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ParticipationInformationGenerator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ParticipationInformationTranscriber-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ParticipationInformationTranscriber-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ParticipationInformationTranscriber-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ParticipationPhysicalPerformer-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ParticipationPhysicalPerformer-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ParticipationPhysicalPerformer-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ParticipationSignature-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ParticipationSignature-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ParticipationSignature-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ParticipationTargetDirect-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ParticipationTargetDirect-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ParticipationTargetDirect-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ParticipationTargetLocation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ParticipationTargetLocation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ParticipationTargetLocation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ParticipationTargetSubject-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ParticipationTargetSubject-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ParticipationTargetSubject-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ParticipationType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ParticipationType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ParticipationType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ParticipationVerifier-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ParticipationVerifier-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ParticipationVerifier-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-PatientImportance-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-PatientImportance-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-PatientImportance-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-PaymentTerms-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-PaymentTerms-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-PaymentTerms-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-PersonDisabilityType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-PersonDisabilityType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7496
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-PersonDisabilityType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-PersonalRelationshipRoleType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-PersonalRelationshipRoleType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66396
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-PersonalRelationshipRoleType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ProbabilityDistributionType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ProbabilityDistributionType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ProbabilityDistributionType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ProcessingID-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ProcessingID-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ProcessingID-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ProcessingMode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ProcessingMode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ProcessingMode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ProvenanceEventCurrentState-AS-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ProvenanceEventCurrentState-AS-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ProvenanceEventCurrentState-AS-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ProvenanceEventCurrentState-DC-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ProvenanceEventCurrentState-DC-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ProvenanceEventCurrentState-DC-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ProvenanceEventCurrentState-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ProvenanceEventCurrentState-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9139
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ProvenanceEventCurrentState-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-PurposeOfUse-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-PurposeOfUse-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-v3-PurposeOfUse-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-QueryParameterValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-QueryParameterValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-QueryParameterValue-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-QueryPriority-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-QueryPriority-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3164
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-QueryPriority-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-QueryRequestLimit-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-QueryRequestLimit-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-QueryRequestLimit-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-QueryResponse-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-QueryResponse-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-QueryResponse-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-QueryStatusCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-QueryStatusCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-QueryStatusCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-Race-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-Race-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 381116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-Race-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RefrainPolicy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RefrainPolicy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15058
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RefrainPolicy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RelationalOperator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RelationalOperator-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RelationalOperator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RelationshipConjunction-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RelationshipConjunction-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RelationshipConjunction-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ReligiousAffiliation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ReligiousAffiliation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ReligiousAffiliation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ResponseLevel-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ResponseLevel-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ResponseLevel-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ResponseModality-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ResponseModality-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ResponseModality-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-ResponseMode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-ResponseMode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-ResponseMode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleClass-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleClass-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleClass-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleClassAgent-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleClassAgent-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleClassAgent-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleClassAssociative-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleClassAssociative-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57703
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleClassAssociative-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleClassManufacturedProduct-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleClassManufacturedProduct-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleClassManufacturedProduct-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleClassMutualRelationship-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleClassMutualRelationship-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleClassMutualRelationship-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleClassPartitive-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleClassPartitive-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleClassPartitive-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleClassPassive-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleClassPassive-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleClassPassive-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleClassRelationshipFormal-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleClassRelationshipFormal-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleClassRelationshipFormal-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleClassRoot-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleClassRoot-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 82334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleClassRoot-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleClassServiceDeliveryLocation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleClassServiceDeliveryLocation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4381
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleClassServiceDeliveryLocation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleClassSpecimen-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleClassSpecimen-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3882
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleClassSpecimen-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 205865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleLinkStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleLinkStatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleLinkStatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleLinkType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleLinkType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleLinkType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RoleStatus-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RoleStatus-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RoleStatus-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-RouteOfAdministration-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-RouteOfAdministration-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 141878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-RouteOfAdministration-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-SecurityControlObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-SecurityControlObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-SecurityControlObservationValue-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-SecurityIntegrityObservationValue-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-SecurityIntegrityObservationValue-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-SecurityIntegrityObservationValue-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-SecurityPolicy-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-SecurityPolicy-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-SecurityPolicy-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-Sequencing-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-Sequencing-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-Sequencing-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-SetOperator-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-SetOperator-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4920
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-SetOperator-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-SeverityObservation-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-SeverityObservation-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-SeverityObservation-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-SpecimenType-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-SpecimenType-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-SpecimenType-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-SubstitutionCondition-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-SubstitutionCondition-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4641
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-SubstitutionCondition-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-TableCellHorizontalAlign-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-TableCellHorizontalAlign-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-TableCellHorizontalAlign-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-TableCellScope-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-TableCellScope-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-TableCellScope-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-TableCellVerticalAlign-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-TableCellVerticalAlign-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-TableCellVerticalAlign-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-TableFrame-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-TableFrame-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-TableFrame-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-TableRules-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-TableRules-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-TableRules-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-TargetAwareness-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-TargetAwareness-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-TargetAwareness-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-TelecommunicationCapabilities-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-TelecommunicationCapabilities-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-TelecommunicationCapabilities-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-TimingEvent-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-TimingEvent-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-TimingEvent-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-TransmissionRelationshipTypeCode-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-TransmissionRelationshipTypeCode-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3096
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-TransmissionRelationshipTypeCode-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-TribalEntityUS-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-TribalEntityUS-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 317885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-TribalEntityUS-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-VaccineManufacturer-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-VaccineManufacturer-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-VaccineManufacturer-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-VerificationMethod-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-VerificationMethod-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5062
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-VerificationMethod-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-hl7Realm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-hl7Realm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21373
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-hl7Realm-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-hl7V3Conformance-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-hl7V3Conformance-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6308
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-hl7V3Conformance-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-orderableDrugForm-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-orderableDrugForm-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 83740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-orderableDrugForm-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-substanceAdminSubstitution-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-substanceAdminSubstitution-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9803
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-substanceAdminSubstitution-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-v3-xBasicConfidentialityKind-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-v3-xBasicConfidentialityKind-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7360
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-v3-xBasicConfidentialityKind-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-vaccination-protocol-dose-status-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-vaccination-protocol-dose-status-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3657
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-vaccination-protocol-dose-status-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-vaccination-protocol-dose-status-reason-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-vaccination-protocol-dose-status-reason-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-vaccination-protocol-dose-status-reason-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-vaccination-protocol-dose-target-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-vaccination-protocol-dose-target-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3621
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-vaccination-protocol-dose-target-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-vaccine-code-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-vaccine-code-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R3-vaccine-code-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-variant-state-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-variant-state-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-variant-state-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-R3-yesnodontknow-for-R4B",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R3-yesnodontknow-for-R4B",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R3-yesnodontknow-for-R4B: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/3.0/OperationOutcome/ValueSet-designation-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-designation-usage"
      }
    }
  ]
}